DETROIT HEALTH DEPARTMENT
NPI 1679883490
Public Health or Welfare in Detroit, MI

Active since October 14, 2010CLIA 23D2110719 · Waiver
3245 E JEFFERSON AVE # 100, DETROIT, MI 48207(313) 876-4000(313) 876-0475 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Detroit Health Department NPPES

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

DETROIT HEALTH DEPARTMENT (NPI 1679883490) is a healthcare organization registered as a public health or welfare in Detroit, Michigan and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Kanzoni Asabigi, General Manager, as its authorized official.

NPPES Registry Identity

NPI1679883490
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCITY OF DETROIT
Location Address3245 E JEFFERSON AVE # 100Detroit, MI 48207-4222
Mailing Address3245 E. JeffersonDetroit, MI 48207-4222 · (313) 876-4000 · Fax (313) 876-0475
Fax(313) 876-0475
Organization SubpartNo
Authorized OfficialKanzoni AsabigiGeneral Manager · (313) 876-4000
Enumeration DateOctober 14, 2010
Last NPPES UpdateJune 8, 2017
✔ NPI 1679883490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
Also ListedOptometristTaxonomy 152W00000X
Also ListedHearing Instrument SpecialistTaxonomy 237700000X
3245 E JEFFERSON AVE # 100, Detroit, MI 48207

Other Names 1

Doing Business AsDetroit Health Department

Other Identifiers 1

Medicaid445991MI

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 23D2110719

Detroit Health Department - Wic · Detroit, MI
Active · expires May 11, 2027
CLIA Number23D2110719
Laboratory TypePublic Health Laboratories
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDenise Fair Razo
Laboratory Phone(313) 269-9561
Laboratory LocationDetroit Health Department - Wic5555 Conner - Ford Wellness Building, Detroit, MI 48213
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 City Of Detroit's NPI number?

The NPI number for City Of Detroit is 1679883490. It was assigned to this organization in the NPPES registry on October 14, 2010. The provider is doing business as Detroit Health Department.

Where is City Of Detroit located?

City Of Detroit is located at 3245 E Jefferson Ave # 100, Detroit, MI 48207. The listed phone number is (313) 876-4000.

What is City Of Detroit's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does City Of Detroit hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2110719) 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 City Of Detroit was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.