MDSH
NPI 1659885200
Clinic/Center - Medical Specialty in Warren, MI

Q: What is MD Spine And Health Center LLC's NPI number?

The NPI number for MD Spine And Health Center LLC is 1659885200. It was assigned to this organization in the NPPES registry on November 17, 2017. The provider is doing business as Mdsh.

Q: What is MD Spine And Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since November 17, 2017CLIA 23D2149520 · Accreditation

27789 MOUND RD STE 100, WARREN, MI 48092(313) 209-3353 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2021, Nov 16, 2020, Mar 18, 2020 and 1 more (4 updates tracked since 2017).

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About Mdsh NPPES

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

MDSH (NPI 1659885200) is a healthcare organization registered as a medical specialty in Warren, Michigan and active in the NPI registry since November 2017. The organization holds an CLIA Accreditation certificate valid through July 16, 2027 and lists Sam Hackette, Owner, as its authorized official.

NPPES Registry Identity

NPI1659885200

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMD SPINE AND HEALTH CENTER LLC

Location Address27789 MOUND RD STE 100Warren, MI 48092-2697

Mailing AddressPo Box 880Sterling Heights, MI 48311-0880

Phone(313) 209-3353

Organization SubpartNo

Authorized OfficialSam HacketteOwner · (727) 422-4688

Enumeration DateNovember 17, 2017

Last NPPES UpdateApril 30, 20214 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1659885200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

27789 MOUND RD STE 100, Warren, MI 48092

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Other Names 1

Doing Business AsMdsh

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 Accreditation 23D2149520

MD Spine And Health Center · Warren, MI

Active · expires Jul 16, 2027

CLIA Number23D2149520

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2025

Certificate Expiration DateJuly 16, 2027

Laboratory DirectorAbir Chaudhry

Laboratory Phone(248) 238-2919

Laboratory LocationMD Spine And Health Center27789 Mound Road, Warren, MI 48092

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

DR. SAM HAKKI HACKETTE MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)