EAST DEARBORN MEDICAL CENTER PC
NPI 1083908198
Clinic/Center - Primary Care in Dearborn, MI
About East Dearborn Medical Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST DEARBORN MEDICAL CENTER PC (NPI 1083908198) is a healthcare organization registered as a primary care in Dearborn, Michigan and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Abdul Mhanna, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 23D2120887
East Dearborn Medical Clinic PC · Dearborn, MIOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
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 East Dearborn Medical Center PC's NPI number?
The NPI number for East Dearborn Medical Center PC is 1083908198. It was assigned to this organization in the NPPES registry on June 6, 2011.
Where is East Dearborn Medical Center PC located?
East Dearborn Medical Center PC is located at 14650 W Warren Ave Suite 150, Dearborn, MI 48126. The listed phone number is (313) 581-0200.
What is East Dearborn Medical Center PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does East Dearborn Medical Center PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2120887) is associated with this NPI, valid through October 25, 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 East Dearborn Medical Center PC was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
