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SPECIALTY SURGICAL CENTER
NPI 1790109445
Clinic/Center - Ambulatory Surgical in Oak Park, MI

Active since February 14, 2014CLIA 23D2087095 · Waiver
22000 GREENFIELD RD, OAK PARK, MI 48237(248) 206-2990(248) 206-2991 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Specialty Surgical Center NPPES

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

SPECIALTY SURGICAL CENTER (NPI 1790109445) is a healthcare organization registered as an ambulatory surgical in Oak Park, Michigan and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Justine Breckenridge Corday, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790109445
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMICHIGAN AMBULATORY SURGICAL CENTER, LLC
Location Address22000 GREENFIELD RDOak Park, MI 48237-2500
Mailing Address22000 Greenfield RdOak Park, MI 48237-2500 · (248) 206-2990 · Fax (248) 206-2991
Phone(248) 206-2990
Fax(248) 206-2991
Organization SubpartNo
Authorized OfficialJustine Breckenridge CordayAdministrator · (248) 206-2990
Enumeration DateFebruary 14, 2014
Last NPPES UpdateApril 14, 2020
NPPES CertifiedApril 14, 2020
✔ NPI 1790109445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
22000 GREENFIELD RD, Oak Park, MI 48237
Open in Google Maps ↗

Other Names 1

Doing Business AsSpecialty Surgical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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 23D2087095

Specialty Surgical Center · Oak Park, MI
Active · expires Nov 17, 2026
CLIA Number23D2087095
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorLouis N. Radden
Laboratory Phone(312) 794-7730
Laboratory LocationSpecialty Surgical Center22000 Greenfield Road, Oak Park, MI 48237
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

NETWORK MEDICAL & THERAPEUTIC SERVICES, P.C.
Clinic/Center (Health Service)
22000 GREENFIELD RD, SUITE B
OAK PARK, MI 48237
Oakland County (248) 968-2372
ANESTHESIA SERVICES AFFILIATES PLLC
Anesthesiology
22000 GREENFIELD RD
OAK PARK, MI 48237
Oakland County (248) 206-2990
VALANA HEALTH CARE
Clinic/Center (Health Service)
22000 GREENFIELD RD, LOWER LEVEL
OAK PARK, MI 48237
Oakland County (248) 968-3330
NETWORK MEDICAL SERVICES, PLLC
Specialist
22000 GREENFIELD RD, LEVEL B
OAK PARK, MI 48237
Oakland County (248) 967-3660

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 Michigan Ambulatory Surgical Center, LLC's NPI number?

The NPI number for Michigan Ambulatory Surgical Center, LLC is 1790109445. It was assigned to this organization in the NPPES registry on February 14, 2014. The provider is doing business as Specialty Surgical Center.

Where is Michigan Ambulatory Surgical Center, LLC located?

Michigan Ambulatory Surgical Center, LLC is located at 22000 Greenfield Rd, Oak Park, MI 48237. The listed phone number is (248) 206-2990.

What is Michigan Ambulatory Surgical Center, LLC's specialty?

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

Does Michigan Ambulatory Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2087095) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Ambulatory Surgical Center, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Michigan Ambulatory Surgical 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 Michigan Ambulatory Surgical Center, LLC was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.