Provider Demographics
NPI:1477938686
Name:MCLAREN HEALTH MANAGEMENT GROUP
Entity Type:Organization
Organization Name:MCLAREN HEALTH MANAGEMENT GROUP
Other - Org Name:MCLAREN CENTRAL MEDICAL LABORATORY
Other - Org Type:Other Name
Authorized Official - Title/Position:VP - CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-496-8633
Mailing Address - Street 1:4000 S SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2604
Mailing Address - Country:US
Mailing Address - Phone:810-396-5747
Mailing Address - Fax:810-424-2504
Practice Address - Street 1:4000 S SAGINAW ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2604
Practice Address - Country:US
Practice Address - Phone:810-396-5747
Practice Address - Fax:810-424-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory