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MORIAH, INCORPORATED
NPI 1013585405
Clinic/Center - Multi-Specialty in Selfridge Angb, MI

Active since June 14, 2021CLIA 23D2205152 · Waiver
29991 MITCHELL ST, SELFRIDGE ANGB, MI 48045(734) 677-0070(734) 677-0890 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moriah, Incorporated NPPES

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

MORIAH, INCORPORATED (NPI 1013585405) is a healthcare organization registered as a multi-specialty in Selfridge Angb, Michigan and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Tim Mucha, Compliance And Contracts Manager, as its authorized official.

NPPES Registry Identity

NPI1013585405
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMORIAH, INCORPORATED
Location Address29991 MITCHELL STSelfridge Angb, MI 48045-4957
Mailing Address3200 E Eisenhower PkwyAnn Arbor, MI 48108-3231 · (734) 677-0070 · Fax (734) 677-0890
Phone(734) 677-0070
Fax(734) 677-0890
Organization SubpartYesParent: Moriah Inc.
Authorized OfficialTim MuchaCompliance And Contracts Manager · (734) 677-0070
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1013585405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X
29991 MITCHELL ST, Selfridge Angb, MI 48045
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Other Names 1

Other NameEisenhower Veterans Reintegration Center

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 23D2205152

Moriah Inc Dba Eisenhower Center · Ann Arbor, MI
Active · expires Dec 12, 2026
CLIA Number23D2205152
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorMark Zarik
Laboratory Phone(734) 395-8624
Laboratory LocationMoriah Inc Dba Eisenhower Center3200 E Eisenhower Pkwy, Ann Arbor, MI 48108
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Moriah, Incorporated's NPI number?

The NPI number for Moriah, Incorporated is 1013585405. It was assigned to this organization in the NPPES registry on June 14, 2021. The provider is also known as Eisenhower Veterans Reintegration Center.

Where is Moriah, Incorporated located?

Moriah, Incorporated is located at 29991 Mitchell St, Selfridge Angb, MI 48045. The listed phone number is (734) 677-0070.

What is Moriah, Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Moriah, Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2205152) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moriah, Incorporated was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.