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AIRPORT FAMILY PHYSICIANS LLC
NPI 1417130303
Family Medicine in Waterford, MI

Active since December 13, 2007CLIA 23D0371942 · Microscopy
1724 AIRPORT RD, WATERFORD, MI 48327(248) 673-5520 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Airport Family Physicians Llc NPPES

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

AIRPORT FAMILY PHYSICIANS LLC (NPI 1417130303) is a healthcare organization registered as a family medicine in Waterford, Michigan and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through October 8, 2027 and lists Emilio Antunano, Owner, as its authorized official.

NPPES Registry Identity

NPI1417130303
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAIRPORT FAMILY PHYSICIANS LLC
Location Address1724 AIRPORT RDWaterford, MI 48327-1390
Mailing Address1724 Airport RdWaterford, MI 48327-1390 · (248) 673-5520
Phone(248) 673-5520
Organization SubpartNo
Authorized OfficialEmilio AntunanoOwner · (248) 673-5520
Enumeration DateDecember 13, 2007
✔ NPI 1417130303 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.
1724 AIRPORT RD, Waterford, MI 48327
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Other Identifiers 1

Medicare PIN0N87070MI

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

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0371942

Airport Family Physicians · Waterford Township, MI
Active · expires Oct 8, 2027
CLIA Number23D0371942
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorRay Breitenbach
Laboratory Phone(248) 673-5520
Laboratory LocationAirport Family Physicians1724 Airport Rd Suite 102, Waterford Township, MI 48327
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.

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.

C SHEEHAN
Internal Medicine
1724 AIRPORT RD
WATERFORD, MI 48327
Oakland County (248) 673-5520
SAMBA JUNG M D P C
Internal Medicine
1724 AIRPORT RD
WATERFORD, MI 48327
Oakland County (248) 674-1220
DR. EMILIO E. ANTUNANO M.D.
Family Medicine
1724 AIRPORT RD
WATERFORD, MI 48327
Oakland County (248) 673-5520
DR. SAMBA JUNG MD
Internal Medicine
1724 AIRPORT RD
WATERFORD, MI 48327
Oakland County (248) 674-1220

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 Airport Family Physicians LLC's NPI number?

The NPI number for Airport Family Physicians LLC is 1417130303. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Airport Family Physicians LLC located?

Airport Family Physicians LLC is located at 1724 Airport Rd, Waterford, MI 48327. The listed phone number is (248) 673-5520.

What is Airport Family Physicians LLC's specialty?

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

Does Airport Family Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0371942) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Airport Family Physicians LLC 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 Airport Family Physicians LLC 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 Airport Family Physicians LLC was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.