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CHILDREN'S HOSPITAL OF MICHIGAN
NPI 1063767713
Clinic/Center - Urgent Care in Detroit, MI

Active since July 18, 2012CLIA 23D0922081 · Microscopy
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Children's Hospital Of Michigan NPPES

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

CHILDREN'S HOSPITAL OF MICHIGAN (NPI 1063767713) is a healthcare organization registered as an urgent care in Detroit, Michigan and active in the NPI registry since July 2012. The organization holds a CLIA Microscopy certificate valid through May 15, 2027 and lists Keisuke Ueda, Pediatric Resident, as its authorized official.

NPPES Registry Identity

NPI1063767713
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCHILDREN'S HOSPITAL OF MICHIGAN
Location Address3901 BEAUBIEN STDetroit, MI 48201-2119
Mailing Address3901 Beaubien StDetroit, MI 48201-2119 · (313) 745-5437
Phone(313) 745-5437
Organization SubpartNo
Authorized OfficialKeisuke UedaPediatric Resident · (586) 532-3410
Enumeration DateJuly 18, 2012
Last NPPES UpdateMarch 7, 2013
✔ NPI 1063767713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in MI · 5301007841
3901 BEAUBIEN ST, Detroit, MI 48201
Open in Google Maps ↗

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0922081

Children's Hospital Of Michigan Specialty Center - Detroit · Detroit, MI
Active · expires May 15, 2027
CLIA Number23D0922081
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorYvonne Friday
Laboratory Phone(313) 832-8290
Laboratory LocationChildren's Hospital Of Michigan Specialty Center - Detroit3950 Beaubien Blvd, Detroit, MI 48201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
BROOKE ALISON BENOWITZ
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-4883
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414

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 Children's Hospital Of Michigan's NPI number?

The NPI number for Children's Hospital Of Michigan is 1063767713. It was assigned to this organization in the NPPES registry on July 18, 2012.

Where is Children's Hospital Of Michigan located?

Children's Hospital Of Michigan is located at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-5437.

What is Children's Hospital Of Michigan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Children's Hospital Of Michigan hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0922081) is associated with this NPI, valid through May 15, 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 Children's Hospital Of Michigan was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.