FAMILY MEDICINE PC
NPI 1417921628
Family Medicine in Southfield, MI
About Family Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE PC (NPI 1417921628) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Rodrigo Tobar, Secretary/treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Group Practice 1
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 23D0365028
Family Medicine PC · Southfield, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
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 Family Medicine PC's NPI number?
The NPI number for Family Medicine PC is 1417921628. It was assigned to this organization in the NPPES registry on February 14, 2006.
Where is Family Medicine PC located?
Family Medicine PC is located at 29255 Northwestern Hwy Suite 203, Southfield, MI 48034. The listed phone number is (248) 557-0535.
What is Family Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Family Medicine PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0365028) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Medicine PC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Family Medicine 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 Family Medicine PC was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Family Medicine Pc · NPI 1417921628
Family Medicine organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1417921628 (Entity type: Organization)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rodrigo Tobar, SECRETARY/TREASURER
## Practice location
- **Address:** 29255 NORTHWESTERN HWY, SUITE 203, Southfield, MI 48034-1018
- **Phone:** (248) 557-0535 · **Fax:** (248) 557-6145
## Record status
- **NPPES last updated:** January 18, 2012
- **Other identifiers:** Other 5630421 (MI); Other 0638787 (MI); Other 080F364760 (MI); and 6 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417921628) · Data from the CMS NPPES public registry.