BLUE WATER URGENT CARE PORT HURON
NPI 1548957707
Clinic/Center - Urgent Care in Port Huron, MI
About Blue Water Urgent Care Port Huron NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE WATER URGENT CARE PORT HURON (NPI 1548957707) is a healthcare organization registered as an urgent care in Port Huron, Michigan and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Ibrahim Dabaja, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 23D2282143
Blue Water Urgent Care Port Huron · Port Huron, MIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blue Water Urgent Care Port Huron's NPI number?
The NPI number for Blue Water Urgent Care Port Huron is 1548957707. It was assigned to this organization in the NPPES registry on April 19, 2023.
Where is Blue Water Urgent Care Port Huron located?
Blue Water Urgent Care Port Huron is located at 1612 10th Ave, Port Huron, MI 48060. The listed phone number is (810) 660-0242.
What is Blue Water Urgent Care Port Huron's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Blue Water Urgent Care Port Huron hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2282143) is associated with this NPI, valid through May 16, 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 Blue Water Urgent Care Port Huron was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Blue Water Urgent Care Port Huron · NPI 1548957707
Urgent Care organization in Port Huron, Michigan. Organization record, active in the CMS NPPES registry since April 19, 2023.
## Identity
- **NPI:** 1548957707 (Entity type: Organization)
- **Enumerated:** April 19, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Ibrahim Dabaja, PRESIDENT
## Practice location
- **Address:** 1612 10TH AVE, Port Huron, MI 48060-3303
- **Phone:** (810) 660-0242
## Record status
- **NPPES last updated:** April 19, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548957707) · Data from the CMS NPPES public registry.