ALSAN MEDICAL CLINIC P.C.
NPI 1235352345
Family Medicine in Detroit, MI

Active since April 10, 2007CLIA 23D0711380 · Microscopy
3130 GRATIOT AVE, DETROIT, MI 48207(313) 579-1860(313) 579-0017 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alsan Medical Clinic P.c. NPPES

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

ALSAN MEDICAL CLINIC P.C. (NPI 1235352345) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through March 7, 2028 and lists Jacqueline Graham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235352345
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALSAN MEDICAL CLINIC P.C.
Location Address3130 GRATIOT AVEDetroit, MI 48207-2283
Mailing Address3130 Gratiot AveDetroit, MI 48207-2283 · (313) 579-1860 · Fax (313) 579-0017
Fax(313) 579-0017
Organization SubpartNo
Authorized OfficialJacqueline GrahamOffice Manager · (313) 579-1860
Enumeration DateApril 10, 2007
Last NPPES UpdateMay 26, 2010
NPI 1235352345 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.

3130 GRATIOT AVE, Detroit, MI 48207

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

Accepted Insurance

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) 23D0711380

Alsan Medical Clinic PC · Detroit, MI
Active · expires Mar 7, 2028
CLIA Number23D0711380
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorFrank M. Clark
Laboratory Phone(313) 579-1860
Laboratory LocationAlsan Medical Clinic PC3130 Gratiot, Detroit, MI 48207
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 3

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

Pharmacy
3130 GRATIOT AVE
DETROIT, MI 48207
Physician Assistant (Medical)
3130 GRATIOT AVE
DETROIT, MI 48207
Family Medicine
3130 GRATIOT AVE
DETROIT, MI 48207

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 Alsan Medical Clinic P.C.'s NPI number?

The NPI number for Alsan Medical Clinic P.C. is 1235352345. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Alsan Medical Clinic P.C. located?

Alsan Medical Clinic P.C. is located at 3130 Gratiot Ave, Detroit, MI 48207. The listed phone number is (313) 579-1860.

What is Alsan Medical Clinic P.C.'s specialty?

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

Does Alsan Medical Clinic P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0711380) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alsan Medical Clinic P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Alsan Medical Clinic P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alsan Medical Clinic P.C. was last updated on May 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.