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LAKESHORE MEDICAL CENTER, P.C.
NPI 1437239043
Family Medicine in Clinton Twp, MI

Active since October 17, 2006CLIA 23D0688289 · Waiver
33720 HARPER AVE, SUITE A, CLINTON TWP, MI 48035(586) 294-5210(586) 294-0215 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeshore Medical Center, P.c. NPPES

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

LAKESHORE MEDICAL CENTER, P.C. (NPI 1437239043) is a healthcare organization registered as a family medicine in Clinton Twp, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John R Pradko, Owner, as its authorized official.

NPPES Registry Identity

NPI1437239043
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESHORE MEDICAL CENTER, P.C.
Location Address33720 HARPER AVE, SUITE AClinton Twp, MI 48035
Mailing Address33720 Harper Ave, Suite AClinton Twp, MI 48035 · (586) 294-5210 · Fax (586) 294-0215
Phone(586) 294-5210
Fax(586) 294-0215
Organization SubpartNo
Authorized OfficialJohn R PradkoOwner · (586) 294-5210
Enumeration DateOctober 17, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1437239043 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.
33720 HARPER AVE, Clinton Twp, MI 48035
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Other Identifiers 6

Medicare UPINH32309MI
Medicare UPINF01068MI
Medicaid4679899MI
Medicare PIN0N90060MI
OtherCH9022MI · Railroad Medicare
Medicaid3223681MI

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 23D0688289

Lakeshore Medical Center PC · Clinton Township, MI
Active · expires Aug 31, 2026
CLIA Number23D0688289
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn R. Pradko Do
Laboratory Phone(586) 294-5210
Laboratory LocationLakeshore Medical Center PC33720 Harper Avenue, Clinton Township, MI 48035
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SANIYA JAIN DO
Family Medicine
33720 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 294-5210
MRS. HELEN VICTORIA HRANCHOOK-EHARDT P.A. - C
Physician Assistant
33720 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 294-5210
ALEXANDRA BLOOM RN, FNP-BC
Nurse Practitioner (Family)
33720 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 294-5210
TARA JEAN EASTIN D.O.
Internal Medicine
33720 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 294-5210
DR. JOHN R PRADKO D.O.
Family Medicine
33720 HARPER AVE, SUITE A
CLINTON TWP, MI 48035
Macomb County (586) 294-5210
PAIGE ELIZABETH PRADKO L.P.C.
Counselor (Professional)
33720 HARPER AVE, SUITE B
CLINTON TWP, MI 48035
Macomb County (586) 899-0864
LAKESHORE MEDICAL PHARMACY
Durable Medical Equipment & Medical Supplies
33720 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 415-4825

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 Lakeshore Medical Center, P.C.'s NPI number?

The NPI number for Lakeshore Medical Center, P.C. is 1437239043. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Lakeshore Medical Center, P.C. located?

Lakeshore Medical Center, P.C. is located at 33720 Harper Ave Suite A, Clinton Twp, MI 48035. The listed phone number is (586) 294-5210.

What is Lakeshore Medical Center, P.C.'s specialty?

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

Does Lakeshore Medical Center, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0688289) is associated with this NPI, valid through August 31, 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 Lakeshore Medical Center, P.C. was last updated on October 23, 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.