MICHIGAN CENTER FOR DERMATOLOGY PLLC
NPI 1053527226
Clinic/Center - Medical Specialty in Dearborn, MI

Q: What is Michigan Center For Dermatology PLLC's NPI number?

The NPI number for Michigan Center For Dermatology PLLC is 1053527226. It was assigned to this organization in the NPPES registry on May 15, 2007.

Q: What is Michigan Center For Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since May 15, 2007CLIA 23D2157035 · Waiver

835 MASON ST STE C200, DEARBORN, MI 48124(313) 274-5810(313) 274-1499 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michigan Center For Dermatology Pllc NPPES

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

MICHIGAN CENTER FOR DERMATOLOGY PLLC (NPI 1053527226) is a healthcare organization registered as a medical specialty in Dearborn, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 29, 2026, maintains a secondary practice location in Dearborn, and lists Thomas P. Waldinger, Physician, as its authorized official.

NPPES Registry Identity

NPI1053527226

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMICHIGAN CENTER FOR DERMATOLOGY PLLC

Location Address835 MASON ST STE C200Dearborn, MI 48124-2231

Mailing Address835 Mason St Ste C200Dearborn, MI 48124-2231 · (313) 274-5810 · Fax (313) 274-1499

Phone(313) 274-5810

Fax(313) 274-1499

Organization SubpartNo

Authorized OfficialThomas P. WaldingerPhysician · (313) 274-5810

Enumeration DateMay 15, 2007

Last NPPES UpdateMarch 17, 2018

✔ NPI 1053527226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in MI · 4301043778

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

835 MASON ST STE C200, Dearborn, MI 48124

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Secondary Practice Location 1

Location 118550 Outer DrDearborn, MI 48128-1872 · Phone (313) 274-5810 ext. 207 · Fax (313) 274-1499

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D2157035

Michigan Center For Dermatology · Dearborn, MI

Active · expires Oct 29, 2026

CLIA Number23D2157035

Laboratory TypePhysician Office

Certificate Effective DateOctober 30, 2024

Certificate Expiration DateOctober 29, 2026

Laboratory DirectorArathi R. Goldsmith

Laboratory Phone(313) 274-5810

Laboratory LocationMichigan Center For Dermatology835 Mason Street Suite C200, Dearborn, MI 48124

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARATHI RAJENDRAN GOLDSMITH DO

Dermatology

835 MASON ST STE C200
DEARBORN, MI 48124

Wayne County (313) 274-5810

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 Michigan Center For Dermatology PLLC's NPI number?

The NPI number for Michigan Center For Dermatology PLLC is 1053527226. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Michigan Center For Dermatology PLLC located?

Michigan Center For Dermatology PLLC is located at 835 Mason St Ste C200, Dearborn, MI 48124. The listed phone number is (313) 274-5810.

What is Michigan Center For Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Michigan Center For Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2157035) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Center For Dermatology PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Center For Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan Center For Dermatology PLLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.