Michigan Specialty Clinic Pllc

LBN: Michigan Specialty Clinic Pllc
Michigan Specialty Clinic Pllc is an health care organization with primary practice located at 13530 Michigan Ave Suite L2, Dearborn MI 48126-3574. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Michigan Specialty Clinic Pllc can be contacted via phone (313) 945-9188, or through Masri, Fatina via phone (313) 945-9188.

Contact Information

Primary practice address
13530 Michigan Ave Suite L2 Dearborn MI 48126-3574
Phone: (313) 945-9188
Fax: (313) 582-2545
Website:
Map and Directions
Authorized official contact:
Name: Masri, Fatina Doctor of Medicine (MD)
Phone: (313) 945-9188

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1457882888
LBN Legal business name Michigan Specialty Clinic Pllc
DBA Doing business as
Authorized official Masri, Fatina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2017
Last updated Mar 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457882888 NPPES
Michigan Other 23D21505179 CLIA OF REGISTRATION

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