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MY CLINIC PLLC
NPI 1689216699
Internal Medicine in Dearborn, MI

Active since October 10, 2019CLIA 23D2183270 · Waiver
4025 MAPLE ST STE B, DEARBORN, MI 48126(313) 269-4184 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Clinic Pllc NPPES

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

MY CLINIC PLLC (NPI 1689216699) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Diana El Masri, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1689216699
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMY CLINIC PLLC
Location Address4025 MAPLE ST STE BDearborn, MI 48126-3532
Mailing Address4025 Maple St Ste BDearborn, MI 48126-3532 · (313) 269-4184
Phone(313) 269-4184
Organization SubpartNo
Authorized OfficialDiana El MasriCredentialing Coordinator · (248) 215-0048
Enumeration DateOctober 10, 2019
✔ NPI 1689216699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4025 MAPLE ST STE B, Dearborn, MI 48126
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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

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 23D2183270

My Clinic PLLC · Dearborn, MI
Active · expires May 3, 2028
CLIA Number23D2183270
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorAmir Jundi
Laboratory Phone(313) 982-7811
Laboratory LocationMy Clinic PLLC4025 Maple Street Suite B, Dearborn, MI 48126
CLIA data matches this NPI record on: Address 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 My Clinic PLLC's NPI number?

The NPI number for My Clinic PLLC is 1689216699. It was assigned to this organization in the NPPES registry on October 10, 2019.

Where is My Clinic PLLC located?

My Clinic PLLC is located at 4025 Maple St Ste B, Dearborn, MI 48126. The listed phone number is (313) 269-4184.

What is My Clinic PLLC's specialty?

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

Does My Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2183270) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does My 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 My 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 My Clinic PLLC was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.