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HALO PRIMARY CARE
NPI 1386101293
Family Medicine in Detroit, MI

Active since February 27, 2019CLIA 23D2311516 · Waiver
1535 E STATE FAIR, DETROIT, MI 48203(313) 891-2740 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2019, Feb 27, 2019 (2 updates tracked since 2019).

About Halo Primary Care NPPES

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

HALO PRIMARY CARE (NPI 1386101293) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Hanady Beydoun, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1386101293
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHALO PRIMARY CARE
Location Address1535 E STATE FAIRDetroit, MI 48203-1257
Mailing Address22720 Michigan Ave Ste 200Dearborn, MI 48124-2021 · (313) 891-2740
Phone(313) 891-2740
Organization SubpartYesParent: Halo Medical Group Pllc
Authorized OfficialHanady BeydounOffice Manager · (313) 993-7777
Enumeration DateFebruary 27, 2019
Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration
✔ NPI 1386101293 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.
1535 E STATE FAIR, Detroit, MI 48203
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Other Identifiers 3

Other14264493Caqh
Other12715957Caqh
Medicaid1417245721MI

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 23D2311516

Halo Primary Care PLLC · Detroit, MI
Active · expires Sep 23, 2026
CLIA Number23D2311516
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorRibhi Hazin
Laboratory Phone(313) 891-2740
Laboratory LocationHalo Primary Care PLLC1535 E State Fair Avenue, Detroit, MI 48203
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 6

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

MACKENZIE FLYNN PA-C
Physician Assistant (Medical)
1535 E STATE FAIR
HIGHLAND PARK, MI 48203
Wayne County (313) 891-2740
ZULIKRAM HOSSAIN FNP
Nurse Practitioner (Family)
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 549-1780
QUINTINA HALL PCT, CMA
Home Health
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740
STEPHANIE R GATES
Home Health
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740
MRS. DANIELLE N GRIFFITH MSN, FNP-C
Nurse Practitioner (Family)
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740
HALO PRIMARY CARE PLLC
Clinic/Center (Primary Care)
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740

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 Halo Primary Care's NPI number?

The NPI number for Halo Primary Care is 1386101293. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Halo Primary Care located?

Halo Primary Care is located at 1535 E State Fair, Detroit, MI 48203. The listed phone number is (313) 891-2740.

What is Halo Primary Care's specialty?

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

Does Halo Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2311516) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Halo Primary Care was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.