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PACKARD HEALTH, INC.
NPI 1205538584
Clinic/Center - Federally Qualified Health Center (FQHC) in Ypsilanti, MI

Active since March 20, 2023CLIA 23D0366785 · Microscopy
2345 TYLER RD, YPSILANTI, MI 48198(734) 971-1073(734) 971-8545 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Packard Health, Inc. NPPES

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

PACKARD HEALTH, INC. (NPI 1205538584) is a healthcare organization registered as a federally qualified health center (fqhc) in Ypsilanti, Michigan and active in the NPI registry since March 2023. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Raymond John Rion, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205538584
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePACKARD HEALTH, INC.
Location Address2345 TYLER RDYpsilanti, MI 48198-6176
Mailing Address5200 Venture DrAnn Arbor, MI 48108-9561 · (734) 971-1073 · Fax (734) 773-1833
Phone(734) 971-1073
Fax(734) 971-8545
Organization SubpartNo
Authorized OfficialRaymond John RionExecutive Director · (734) 971-1073
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1205538584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2345 TYLER RD, Ypsilanti, MI 48198
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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 for Provider-Performed Microscopy Procedures (PPMP) 23D0366785

Packard Health · Ann Arbor, MI
Active · expires Aug 31, 2028
CLIA Number23D0366785
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJerry S. Walden
Laboratory Phone(734) 971-1073
Laboratory LocationPackard Health2650 Carpenter Road, Ann Arbor, MI 48108
CLIA data matches this NPI record on: Name Phone
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.

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 Packard Health, Inc.'s NPI number?

The NPI number for Packard Health, Inc. is 1205538584. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Packard Health, Inc. located?

Packard Health, Inc. is located at 2345 Tyler Rd, Ypsilanti, MI 48198. The listed phone number is (734) 971-1073.

What is Packard Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Packard Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0366785) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Packard Health, Inc. was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.