LAKEVIEW MEDICAL CENTER PC
NPI 1285950162
Internal Medicine in Saint Clair Shores, MI

Active since April 16, 2010CLIA 23D1006995 · Waiver
23600 HARPER AVE, STE. 103, SAINT CLAIR SHORES, MI 48080(586) 585-2570(586) 585-2574 Get Directions Write a Review

NPPES record last updated: April 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeview Medical Center Pc NPPES

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

LAKEVIEW MEDICAL CENTER PC (NPI 1285950162) is a healthcare organization registered as an internal medicine in Saint Clair Shores, Michigan and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Magdy Wanis, Owner, as its authorized official.

NPPES Registry Identity

NPI1285950162
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKEVIEW MEDICAL CENTER PC
Location Address23600 HARPER AVE, STE. 103Saint Clair Shores, MI 48080-1445
Mailing Address23600 Harper Ave, Ste. 103Saint Clair Shores, MI 48080-1445 · (586) 585-2570 · Fax (586) 585-2574
Fax(586) 585-2574
Organization SubpartNo
Authorized OfficialMagdy WanisOwner · (586) 585-2570
Enumeration DateApril 16, 2010
NPI 1285950162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
23600 HARPER AVE, Saint Clair Shores, MI 48080

Other Identifiers 11

Medicare PIN0M98390
Other7189170Aetna
OtherP105025Bcn
Other110500795-2Bcbs
OtherG89641Hap
Medicaid4243830MI
OtherP00051536Medicare Rr
Other912517500Medicaid Florida
Medicare UPING89641
Other127679Care Choices
Other21969Health Plan Of Michigan

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 of Waiver 23D1006995

Lakeview Medical Center, PC · Saint Clair Shores, MI
Active · expires Dec 4, 2026
CLIA Number23D1006995
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorMagdy G. Wanis
Laboratory Phone(586) 585-2570
Laboratory LocationLakeview Medical Center, PC23600 Harper Avenue, Suite 103, Saint Clair Shores, MI 48080
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 10

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

Specialist
23600 HARPER AVE, SUITE 102
SAINT CLAIR SHORES, MI 48080
Internal Medicine
23600 HARPER AVE, STE 103
ST CLAIR SHORES, MI 48080
Internal Medicine
23600 HARPER AVE
ST CLAIR SHORES, MI 48080
Internal Medicine
23600 HARPER AVE, SUITE 101
SAINT CLAIR SHORES, MI 48080
Internal Medicine
23600 HARPER AVE, STE. 103
SAINT CLAIR SHORES, MI 48080
Psychologist
23600 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Psychologist
23600 HARPER AVE, SUITE 101
SAINT CLAIR SHORES, MI 48080
Clinic/Center (Adult Day Care)
23600 HARPER AVE, SUITE 101
SAINT CLAIR SHORES, MI 48080

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 Lakeview Medical Center PC's NPI number?

The NPI number for Lakeview Medical Center PC is 1285950162. It was assigned to this organization in the NPPES registry on April 16, 2010.

Where is Lakeview Medical Center PC located?

Lakeview Medical Center PC is located at 23600 Harper Ave Ste. 103, Saint Clair Shores, MI 48080. The listed phone number is (586) 585-2570.

What is Lakeview Medical Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lakeview Medical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1006995) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeview Medical Center PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeview Medical Center PC 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 Lakeview Medical Center PC was last updated on April 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.