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

MACK ADVANCED CENTER, LLC
NPI 1134075880
Family Medicine in Detroit, MI

Active since March 05, 2026
7612 GRATIOT AVE STE 2, DETROIT, MI 48213(313) 548-3787 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Mar 5, 2026 (2 updates tracked since 2026).

About Mack Advanced Center, Llc NPPES

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

MACK ADVANCED CENTER, LLC (NPI 1134075880) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since March 2026. The organization lists Lakeisha Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1134075880
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMACK ADVANCED CENTER, LLC
Location Address7612 GRATIOT AVE STE 2Detroit, MI 48213-2822
Mailing Address2751 E Jefferson Ave Ste 400Detroit, MI 48207-4105 · (313) 444-1242 · Fax (313) 279-7126
Phone(313) 548-3787
Organization SubpartNo
Authorized OfficialLakeisha WilliamsOffice Manager · (313) 548-3787
Enumeration DateMarch 5, 2026
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1134075880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7612 GRATIOT AVE STE 2, Detroit, MI 48213
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mack Advanced Center, LLC's NPI number?

The NPI number for Mack Advanced Center, LLC is 1134075880. It was assigned to this organization in the NPPES registry on March 5, 2026.

Where is Mack Advanced Center, LLC located?

Mack Advanced Center, LLC is located at 7612 Gratiot Ave Ste 2, Detroit, MI 48213. The listed phone number is (313) 548-3787.

What is Mack Advanced Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mack Advanced Center, LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.