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WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
NPI 1063701522
General Acute Care Hospital in Atlanta, GA

Active since April 05, 2011CLIA 23D2328918 · Waiver
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 616-1424 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wayne State University School Of Medicine NPPES

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

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE (NPI 1063701522) is a healthcare organization registered as a general acute care hospital in Atlanta, Georgia and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Martha Jordan, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1063701522
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address540 E Canfield StDetroit, MI 48201-1928 · (313) 577-5245
Phone(404) 616-1424
Organization SubpartNo
Authorized OfficialMartha JordanAdministrative Director · (313) 577-2378
Enumeration DateApril 5, 2011
Last NPPES UpdateJune 6, 2012
✔ NPI 1063701522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
720 WESTVIEW DR SW, Atlanta, GA 30310
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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 23D2328918

Wayne State University · Detroit, MI
Active · expires Aug 18, 2027
CLIA Number23D2328918
Laboratory TypeResearch
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorStephen Farrow
Laboratory Phone(313) 399-5888
Laboratory LocationWayne State University4201 St Antoine Suite 4-H, Detroit, MI 48201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Wayne State University School Of Medicine's NPI number?

The NPI number for Wayne State University School Of Medicine is 1063701522. It was assigned to this organization in the NPPES registry on April 5, 2011.

Where is Wayne State University School Of Medicine located?

Wayne State University School Of Medicine is located at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 616-1424.

What is Wayne State University School Of Medicine's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Wayne State University School Of Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2328918) is associated with this NPI, valid through August 18, 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 Wayne State University School Of Medicine was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.