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USCG AIRSTA TRAVERSE CITY CLINIC
NPI 1942384409
Clinic/Center - Health Service in Traverse City, MI

Active since October 24, 2006CLIA 23D0662679 · Waiver
1175 AIRPORT ACCESS RD, TRAVERSE CITY, MI 49686(231) 922-8282(231) 922-8292 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Uscg Airsta Traverse City Clinic NPPES

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

USCG AIRSTA TRAVERSE CITY CLINIC (NPI 1942384409) is a healthcare organization registered as a health service in Traverse City, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Kelly Louise Buttrick, Chief Health Services, as its authorized official.

NPPES Registry Identity

NPI1942384409
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameUSCG AIRSTA TRAVERSE CITY CLINIC
Location Address1175 AIRPORT ACCESS RDTraverse City, MI 49686-3513
Mailing Address1175 Airport Access RdTraverse City, MI 49686-3513 · (231) 922-8282 · Fax (231) 922-8292
Phone(231) 922-8282
Fax(231) 922-8292
Organization SubpartNo
Authorized OfficialKelly Louise ButtrickChief Health Services · (231) 922-8282
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942384409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1175 AIRPORT ACCESS RD, Traverse City, MI 49686
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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 23D0662679

Uscg Air Station Traverse City · Traverse City, MI
Active · expires Jul 31, 2027
CLIA Number23D0662679
Laboratory TypeUscg
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorChristopher Trollman
Laboratory Phone(231) 922-8281
Laboratory LocationUscg Air Station Traverse City1175 Airport Access Road, Traverse City, MI 49686
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

TRAVERSE CITY USCG PHCY
Military/U.S. Coast Guard Pharmacy
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8290
CHARLES HUBBARD WILLIAMS III
Military Health Care Provider
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8282
AIRSTATION TRAVERSE CITY
Exclusive Provider Organization
1175 AIRPORT ACCESS RD, FLIGHT MED CLINIC
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8282
USCG MEDICAL CENTER
Clinic/Center (Military/U.S. Coast Guard Outpatient)
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8282
MRS. ELVIRA F LOMBARDO
Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8282
MR. MATTHEW TODD BENTON CORPSMAN
Military Health Care Provider (Independent Duty Corpsman)
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8282
MR. ANTHONY WAYNE OLDHAM
Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8282
MISS CRYSTAL MARIE SYNKIEW
Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-8211

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 Uscg Airsta Traverse City Clinic's NPI number?

The NPI number for Uscg Airsta Traverse City Clinic is 1942384409. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Uscg Airsta Traverse City Clinic located?

Uscg Airsta Traverse City Clinic is located at 1175 Airport Access Rd, Traverse City, MI 49686. The listed phone number is (231) 922-8282.

What is Uscg Airsta Traverse City Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Uscg Airsta Traverse City Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0662679) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Uscg Airsta Traverse City Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.