1. Home
  2. Directory
  3. Michigan
  4. Grass Lake
  5. Clinic Center
  6. NPI Profile

GRASS LAKE SURGERY CENTER LLC
NPI 1790306991
Clinic/Center - Ambulatory Surgical in Grass Lake, MI

Active since April 29, 2020CLIA 23D2183051 · Waiver
3800 CENTENNIAL BLVD, GRASS LAKE, MI 49240(517) 701-3100 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Sep 3, 2025, Jul 22, 2024 and 2 more (5 updates tracked since 2020).

About Grass Lake Surgery Center Llc NPPES

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

GRASS LAKE SURGERY CENTER LLC (NPI 1790306991) is a healthcare organization registered as an ambulatory surgical in Grass Lake, Michigan and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Claire Gibson, Sr Vpo, as its authorized official.

NPPES Registry Identity

NPI1790306991
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRASS LAKE SURGERY CENTER LLC
Location Address3800 CENTENNIAL BLVDGrass Lake, MI 49240
Mailing Address3800 Centennial DrGrass Lake, MI 49240-8961 · (517) 701-3100
Phone(517) 701-3100
Organization SubpartNo
Authorized OfficialClaire GibsonSr Vpo · (214) 726-6042
Enumeration DateApril 29, 2020
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1790306991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3800 CENTENNIAL BLVD, Grass Lake, MI 49240
Open in Google Maps ↗

Other Names 1

Doing Business AsGrass Lake Surgery Center Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2183051

Grass Lake Surgery Center · Grass Lake, MI
Active · expires Apr 28, 2028
CLIA Number23D2183051
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorKatie M. Bandfield
Laboratory Phone(517) 701-3100
Laboratory LocationGrass Lake Surgery Center3800 Centennial Blvd, Grass Lake, MI 49240
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 4

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.

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.
79 services71 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
75 services61 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
19 services18 patients
Partial removal of finger bone at end of finger 26236
This procedure involves removing a part of the bone at the tip of your finger. It's often done to treat conditions causing finger discomfort. After numbing the area, a small cut is made to access and remove the bone fragment. Healing typically takes a few weeks.
11 services11 patients

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 Grass Lake Surgery Center LLC's NPI number?

The NPI number for Grass Lake Surgery Center LLC is 1790306991. It was assigned to this organization in the NPPES registry on April 29, 2020.

Where is Grass Lake Surgery Center LLC located?

Grass Lake Surgery Center LLC is located at 3800 Centennial Blvd, Grass Lake, MI 49240. The listed phone number is (517) 701-3100.

What is Grass Lake Surgery Center LLC's specialty?

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

Does Grass Lake Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2183051) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grass Lake 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 list Grass Lake 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 Grass Lake Surgery Center LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.