MICHIGAN NEURO DIAGNOSTICS PC
MICHIGAN NEURO DIAGNOSTICS PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1508949140, based in Clinton Township, MI. The organization lists 2 taxonomy classifications, with Surgery Physician recorded as primary.
Getting there
The practice address on file is 42621 GARFIELD STE 110, Clinton Township, MI 48038. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 49561020 | WI | Surgery Physician primary |
| BN041753 | MI | Neurology Physician |
Licences are recorded in 2 states: WI, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: Michigan and Wisconsin. The practice address on file is in Clinton Township, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- BN041753
- Specialty
- Neurology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Surgery covers
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208600000X | Surgery Physician | 49561020 | WI | primary |
| 2084N0400X | Neurology Physician Neurology | BN041753 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1508949140 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 24, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
42621 GARFIELD STE 110 Clinton Township, MI 48038 (586) 228-9065 Fax (586) 228-9039 |
| Mailing address |
PO BOX 380168 Clinton Township, MI 48038 |
| Other identifiers |
1304700052
· BCBS OF MI (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 0 | 8 | 9 | 4 | 9 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 0 | 8 | 9 | 4 | 9 | 1 | 8 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.