Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WISE WELL SUPPLIES INC
NPI 1063387686
Clinical Medical Laboratory in Royal Oak, MI

Active since October 06, 2025CLIA 23D2331086 · Waiver
418 N MAIN ST FL 2, ROYAL OAK, MI 48067(313) 465-4301 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2026, Jun 2, 2026, Apr 23, 2026 and 2 more (5 updates tracked since 2025).

About Wise Well Supplies Inc NPPES

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

WISE WELL SUPPLIES INC (NPI 1063387686) is a healthcare organization registered as a clinical medical laboratory in Royal Oak, Michigan and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Amanuddin Mohammad, Manager, as its authorized official.

NPPES Registry Identity

NPI1063387686
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWISE WELL SUPPLIES INC
Location Address418 N MAIN ST FL 2Royal Oak, MI 48067-1813
Mailing Address418 N Main St Fl 2Royal Oak, MI 48067-1813
Organization SubpartNo
Authorized OfficialAmanuddin MohammadManager · (313) 465-4301
Enumeration DateOctober 6, 2025
Last NPPES UpdateJuly 11, 20265 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
NPI 1063387686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
418 N MAIN ST FL 2, Royal Oak, MI 48067

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 23D2331086

Wise Well Supplies Inc · Royal Oak, MI
Active · expires Sep 24, 2027
CLIA Number23D2331086
Laboratory TypeIndependent
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorAmanuddin Mohammad
Laboratory Phone(313) 465-4301
Laboratory LocationWise Well Supplies Inc418 N Main 2nd Floor, Royal Oak, MI 48067
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Psychiatric/Mental Health)
418 N MAIN ST FL 2
ROYAL OAK, MI 48067
Nurse Practitioner (Psychiatric/Mental Health)
418 N MAIN ST FL 2
ROYAL OAK, MI 48067
Physical Therapist
418 N MAIN ST FL 2
ROYAL OAK, MI 48067
Home Health
418 N MAIN ST FL 2
ROYAL OAK, MI 48067
Psychologist (Clinical)
418 N MAIN ST FL 2
ROYAL OAK, MI 48067
Physical Therapist
418 N MAIN ST FL 2
ROYAL OAK, MI 48067
Home Health
418 N MAIN ST FL 2
ROYAL OAK, MI 48067

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 Wise Well Supplies Inc's NPI number?

The NPI number for Wise Well Supplies Inc is 1063387686. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is Wise Well Supplies Inc located?

Wise Well Supplies Inc is located at 418 N Main St Fl 2, Royal Oak, MI 48067. The listed phone number is (313) 465-4301.

What is Wise Well Supplies Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Wise Well Supplies Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2331086) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wise Well Supplies Inc was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.