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VITALITY HEALTH CLINIC PLLC
NPI 1689430407
Family Medicine in Dearborn Heights, MI

Active since February 28, 2024
4245 S BEECH DALY ST STE 102, DEARBORN HEIGHTS, MI 48125(313) 414-0703 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Mar 8, 2024 (2 updates tracked since 2024).

About Vitality Health Clinic Pllc NPPES

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

VITALITY HEALTH CLINIC PLLC (NPI 1689430407) is a healthcare organization registered as a family medicine in Dearborn Heights, Michigan and active in the NPI registry since February 2024. The organization lists Rawya Kazan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1689430407
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITALITY HEALTH CLINIC PLLC
Location Address4245 S BEECH DALY ST STE 102Dearborn Heights, MI 48125-1576
Mailing Address4245 S Beech Daly StDearborn Heights, MI 48125-1576 · (313) 414-0703
Phone(313) 414-0703
Organization SubpartNo
Authorized OfficialRawya KazanNurse Practitioner · (313) 414-0703
Enumeration DateFebruary 28, 2024
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1689430407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
4245 S BEECH DALY ST STE 102, Dearborn Heights, MI 48125
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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 23D2307080

Vitality Health Clinic PLLC · Dearborn Heights, MI
Expired · Jun 30, 2026
CLIA Number23D2307080
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2024
Certificate Expiration DateJune 30, 2026
Laboratory DirectorRawya Kazan
Laboratory Phone(313) 422-1270
Laboratory LocationVitality Health Clinic PLLC4245 S Beech Daly Street, Dearborn Heights, MI 48125
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 Vitality Health Clinic PLLC's NPI number?

The NPI number for Vitality Health Clinic PLLC is 1689430407. It was assigned to this organization in the NPPES registry on February 28, 2024.

Where is Vitality Health Clinic PLLC located?

Vitality Health Clinic PLLC is located at 4245 S Beech Daly St Ste 102, Dearborn Heights, MI 48125. The listed phone number is (313) 414-0703.

What is Vitality Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Vitality Health 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 Vitality Health 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 Vitality Health Clinic PLLC was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.