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PORT HURON INTERNAL MEDICINE
NPI 1437609781
Clinical Nurse Specialist - Family Health in Port Huron, MI

Active since October 11, 2016CLIA 23D0364132 · Waiver
2540 16TH ST, PORT HURON, MI 48060(586) 634-0055 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Port Huron Internal Medicine NPPES

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

PORT HURON INTERNAL MEDICINE (NPI 1437609781) is a healthcare organization registered as a family health in Port Huron, Michigan and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists John Jarad, Internal Medicine Physician, as its authorized official.

NPPES Registry Identity

NPI1437609781
Entity TypeOrganization
Primary Taxonomy364SF0001X
Legal Business NamePORT HURON INTERNAL MEDICINE
Location Address2540 16TH STPort Huron, MI 48060-6405
Mailing Address2540 16th StPort Huron, MI 48060-6405 · (586) 634-0055
Phone(586) 634-0055
Organization SubpartNo
Authorized OfficialJohn JaradInternal Medicine Physician · (810) 987-1000
Enumeration DateOctober 11, 2016
✔ NPI 1437609781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in MI · 4704272224
2540 16TH ST, Port Huron, MI 48060
Open in Google Maps ↗

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

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 23D0364132

Port Huron Internal Medicine Associates, P C · Port Huron, MI
Active · expires May 11, 2027
CLIA Number23D0364132
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorJohn I. Jarad
Laboratory Phone(810) 987-1000
Laboratory LocationPort Huron Internal Medicine Associates, P C2540 16th Street, Port Huron, MI 48060
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.

JOHN IMAD JARAD M.D.
Internal Medicine (Geriatric Medicine)
2540 16TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-1000
CHERYL A CANTO M.D.
Family Medicine
2540 16TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-1000
PORT HURON INTERNAL MEDICINE ASSOCIATES
Internal Medicine (Geriatric Medicine)
2540 16TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-1000
KELLY THOMAS MSN, AGPCNP-C
Nurse Practitioner (Gerontology)
2540 16TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-1000
ANSHUM GOEL BHALLA M.D
Internal Medicine
2540 16TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-1000
MS. ASHLEY MARIE RICHARDSON P.A.-C
Physician Assistant
2540 16TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-1053

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 Port Huron Internal Medicine's NPI number?

The NPI number for Port Huron Internal Medicine is 1437609781. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Port Huron Internal Medicine located?

Port Huron Internal Medicine is located at 2540 16th St, Port Huron, MI 48060. The listed phone number is (586) 634-0055.

What is Port Huron Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Does Port Huron Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0364132) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Port Huron Internal Medicine was last updated on October 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.