MACKINAW SURGERY CENTER LLC
NPI 1780747733
Clinic/Center - Ambulatory Surgical in Saginaw, MI

Active since December 19, 2006CLIA 23D1064223 · Waiver
5400 MACKINAW RD, SAGINAW, MI 48604(636) 220-8597 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2023, May 20, 2020, Aug 30, 2018 (3 updates tracked since 2018).

About Mackinaw Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKINAW SURGERY CENTER LLC (NPI 1780747733) is a healthcare organization registered as an ambulatory surgical in Saginaw, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Lisa Kenny, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780747733
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMACKINAW SURGERY CENTER LLC
Location Address5400 MACKINAW RDSaginaw, MI 48604
Mailing Address5400 Mackinaw Rd Ste 11Saginaw, MI 48604-9545 · (989) 583-5200
Organization SubpartNo
Authorized OfficialLisa KennyAdministrator · (989) 583-5205
Enumeration DateDecember 19, 2006
Last NPPES UpdateMay 22, 20233 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1780747733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5400 MACKINAW RD, Saginaw, MI 48604

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1064223

Mackinaw Surgery Center LLC · Saginaw, MI
Active · expires Jan 31, 2027
CLIA Number23D1064223
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorJames R. Weir
Laboratory Phone(989) 583-5205
Laboratory LocationMackinaw Surgery Center LLC5400 Mackinaw Road, Saginaw, MI 48604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
11,505 services69 patients
Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg Q9968
This procedure involves an injection of a non-radioactive, non-contrast substance like methylene blue or isosulfan blue. It's used to enhance visualization during certain medical procedures, improving accuracy and safety.
1,250 services25 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
60 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
59 services59 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
56 services56 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services41 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
5400 MACKINAW RD
SAGINAW, MI 48604
Obstetrics & Gynecology
5400 MACKINAW RD, SUITE 6100
SAGINAW, MI 48604
Specialist
5400 MACKINAW RD, 5TH FLOOR
SAGINAW, MI 48604
Advanced Practice Midwife
5400 MACKINAW RD, SUITE 6100
SAGINAW, MI 48604
Medical Genetics (Clinical Genetics (M.D.))
5400 MACKINAW RD, SUITE 2300
SAGINAW, MI 48604
Student in an Organized Health Care Education/Training Program
5400 MACKINAW RD
SAGINAW, MI 48604
Nurse Practitioner
5400 MACKINAW RD, STE 6100
SAGINAW, MI 48604
Surgery
5400 MACKINAW RD
SAGINAW, MI 48604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackinaw Surgery Center LLC's NPI number?

The NPI number for Mackinaw Surgery Center LLC is 1780747733. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Mackinaw Surgery Center LLC located?

Mackinaw Surgery Center LLC is located at 5400 Mackinaw Rd, Saginaw, MI 48604. The listed phone number is (636) 220-8597.

What is Mackinaw Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mackinaw Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1064223) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mackinaw Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mackinaw Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mackinaw Surgery Center LLC was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.