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EASTBORN CLINIC PLLC
NPI 1578801080
Internal Medicine in Dearborn, MI

Active since January 18, 2013CLIA 23D2062556 · Waiver
7526 WYOMING ST, STE# 2, DEARBORN, MI 48126(313) 834-4444 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastborn Clinic Pllc NPPES

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

EASTBORN CLINIC PLLC (NPI 1578801080) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Amin S Huballah, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1578801080
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTBORN CLINIC PLLC
Location Address7526 WYOMING ST, STE# 2Dearborn, MI 48126-1690
Mailing Address7526 Wyoming St, Suite Number 2Dearborn, MI 48126-1690 · (313) 834-4444
Phone(313) 834-4444
Organization SubpartNo
Authorized OfficialAmin S HuballahPhysician Assistant · (313) 834-4444
Enumeration DateJanuary 18, 2013
Last NPPES UpdateApril 30, 2014
✔ NPI 1578801080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5601005284
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7526 WYOMING ST, Dearborn, MI 48126
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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 of Waiver 23D2062556

Eastborn Clinic · Dearborn, MI
Active · expires Jul 17, 2027
CLIA Number23D2062556
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorAmin S. Huballah
Laboratory Phone(313) 834-4444
Laboratory LocationEastborn Clinic7526 Wyoming Street Suite 2, Dearborn, MI 48126
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 3

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

EASTBORN RX PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
7526 WYOMING ST, SUITE 1
DEARBORN, MI 48126
Wayne County (313) 491-1010
PROFESSIONAL HOME DOCTORS
Internal Medicine
7526 WYOMING ST
DEARBORN, MI 48126
Wayne County (313) 834-4444
AMIN HUBALLAH PA-C
Physician Assistant (Medical)
7526 WYOMING ST, SUITE #2
DEARBORN, MI 48126
Wayne County (313) 834-4444

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 Eastborn Clinic PLLC's NPI number?

The NPI number for Eastborn Clinic PLLC is 1578801080. It was assigned to this organization in the NPPES registry on January 18, 2013.

Where is Eastborn Clinic PLLC located?

Eastborn Clinic PLLC is located at 7526 Wyoming St Ste# 2, Dearborn, MI 48126. The listed phone number is (313) 834-4444.

What is Eastborn Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Eastborn Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2062556) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastborn Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Eastborn Clinic PLLC 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 Eastborn Clinic PLLC was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.