PREMIER PEDIATRICS
NPI 1174970396
Pediatrics in Dearborn Heights, MI

Q: What is Premier Pediatrics's NPI number?

The NPI number for Premier Pediatrics is 1174970396. It was assigned to this organization in the NPPES registry on May 17, 2016.

Q: What is Premier Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 17, 2016CLIA 23D2160606 · Waiver

22318 FORD RD, DEARBORN HEIGHTS, MI 48127(313) 278-2788(313) 278-8215 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Premier Pediatrics NPPES

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

PREMIER PEDIATRICS (NPI 1174970396) is a healthcare organization registered as a pediatrics in Dearborn Heights, Michigan and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Mazen Hamameh, Physician, as its authorized official.

NPPES Registry Identity

NPI1174970396

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePREMIER PEDIATRICS

Location Address22318 FORD RDDearborn Heights, MI 48127-2421

Mailing Address22318 Ford RdDearborn Heights, MI 48127-2421 · (313) 278-2788 · Fax (313) 278-8215

Phone(313) 278-2788

Fax(313) 278-8215

Organization SubpartYesParent: Mazen N Hamameh Do Pc

Authorized OfficialMazen HamamehPhysician · (313) 278-2788

Enumeration DateMay 17, 2016

✔ NPI 1174970396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

22318 FORD RD, Dearborn Heights, MI 48127

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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

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 23D2160606

Premier Pediatrics · Dearborn Heights, MI

Active · expires Jan 14, 2027

CLIA Number23D2160606

Laboratory TypePhysician Office

Certificate Effective DateJanuary 15, 2025

Certificate Expiration DateJanuary 14, 2027

Laboratory DirectorMazen N. Hamameh

Laboratory Phone(313) 278-2788

Laboratory LocationPremier Pediatrics22318 Ford Road, Dearborn Heights, MI 48127

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

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