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LIFE MEDICAL CENTER
NPI 1366077000
Family Medicine in Dearborn, MI

Active since March 03, 2020CLIA 23D2183262 · Waiver
25325 FORD RD STE 200, DEARBORN, MI 48128(313) 456-5050(313) 914-5922 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2023, Apr 23, 2020, Mar 3, 2020 (3 updates tracked since 2020).

About Life Medical Center NPPES

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

LIFE MEDICAL CENTER (NPI 1366077000) is a healthcare organization registered as a family medicine in Dearborn, Michigan and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Diana El Masri, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1366077000
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIKE ELDIRANI MD PLC
Location Address25325 FORD RD STE 200Dearborn, MI 48128-1086
Mailing Address30700 Telegraph Rd Ste 3670Bingham Farms, MI 48025-4568
Phone(313) 456-5050
Fax(313) 914-5922
Organization SubpartNo
Authorized OfficialDiana El MasriCredentialing Coordinator · (248) 215-0048
Enumeration DateMarch 3, 2020
Last NPPES UpdateApril 10, 20233 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1366077000 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.
25325 FORD RD STE 200, Dearborn, MI 48128
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Other Names 1

Doing Business AsLife Medical Center

Other Identifiers 1

MedicaidPENDINGMI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2183262

Mike Eldirani MD Plc · Dearborn, MI
Active · expires May 3, 2028
CLIA Number23D2183262
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorMohamed El Dirani
Laboratory Phone(313) 887-7774
Laboratory LocationMike Eldirani MD Plc25325 Ford Road Suite 200, Dearborn, MI 48128
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KIMBERLY ANN ISON
Nurse Practitioner (Family)
25325 FORD RD STE 200
DEARBORN, MI 48128
Wayne County (313) 887-7774
LIFE MEDICAL CENTER URGENT CARE PLC
Clinic/Center (Urgent Care)
25325 FORD RD STE 200
DEARBORN, MI 48128
Wayne County (313) 887-7774
DR. MOHAMED A ELDIRANI M.D.
Family Medicine
25325 FORD RD STE 200
DEARBORN, MI 48128
Wayne County (313) 887-7774
FATIMA DIAB HACHEM
Nurse Practitioner (Family)
25325 FORD RD STE 200
DEARBORN, MI 48128
Wayne County (313) 887-7774

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 Mike Eldirani MD Plc's NPI number?

The NPI number for Mike Eldirani MD Plc is 1366077000. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider is doing business as Life Medical Center.

Where is Mike Eldirani MD Plc located?

Mike Eldirani MD Plc is located at 25325 Ford Rd Ste 200, Dearborn, MI 48128. The listed phone number is (313) 456-5050.

What is Mike Eldirani MD Plc's specialty?

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

Does Mike Eldirani MD Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2183262) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mike Eldirani MD Plc 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 Mike Eldirani MD Plc 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 Mike Eldirani MD Plc was last updated on April 10, 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.