OrganizationActive
Great Lakes Lithotripsy, LLC
NPI 1811350846 · Lithotripsy Clinic/Center · Lansing, MI
Provider details
- NPI number
- 1811350846
- Entity type
- Organization
- Primary specialty
- Lithotripsy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- United Medical Systems
- Organization subpart
- Yes
- Authorized official
- Susanne Talebian, Business Manager(703) 955-4923
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
230 N Washington Sq Ste 200
Lansing, MI 48933-1312
Phone: (703) 955-4923
Fax: (571) 313-0262
Street-level locationGet directions
Mailing address
1700 W Park Dr
Westborough, MA 01581-3939
Additional practice locations (1)
- 2075 Coolidge RdEast Lansing, MI 48823-1378Phone: (703) 955-4923Fax: (571) 313-0262
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.