HALO PRIMARY CARE PLLC
NPI 1750787784
Clinic/Center - Primary Care in Detroit, MI

Active since November 19, 2014CLIA 23D2311516 · Waiver
1535 E STATE FAIR, DETROIT, MI 48203(313) 891-2740(313) 731-0213 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Halo Primary Care Pllc NPPES

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

HALO PRIMARY CARE PLLC (NPI 1750787784) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Mahir Elder, President, as its authorized official.

NPPES Registry Identity

NPI1750787784
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHALO PRIMARY CARE PLLC
Location Address1535 E STATE FAIRDetroit, MI 48203-1257
Mailing Address4160 John R St, Suite 510Detroit, MI 48201-2020 · (313) 993-7777 · Fax (313) 993-2563
Fax(313) 731-0213
Organization SubpartYesParent: Heart & Vascular Institute Pllc
Authorized OfficialMahir ElderPresident · (313) 993-7777
Enumeration DateNovember 19, 2014
NPI 1750787784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1535 E STATE FAIR, Detroit, MI 48203

Accepted 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 23D2311516

Halo Primary Care PLLC · Detroit, MI
Active · expires Sep 23, 2026
CLIA Number23D2311516
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorRibhi Hazin
Laboratory Phone(313) 891-2740
Laboratory LocationHalo Primary Care PLLC1535 E State Fair Avenue, Detroit, MI 48203
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 6

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

Family Medicine
1535 E STATE FAIR
DETROIT, MI 48203
Nurse Practitioner (Family)
1535 E STATE FAIR
DETROIT, MI 48203
Home Health
1535 E STATE FAIR
DETROIT, MI 48203
Home Health
1535 E STATE FAIR
DETROIT, MI 48203
Nurse Practitioner (Family)
1535 E STATE FAIR
DETROIT, MI 48203
Physician Assistant (Medical)
1535 E STATE FAIR
HIGHLAND PARK, MI 48203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750787784, enumerated as an "organization" on November 19, 2014.

The provider is located at 1535 E STATE FAIR DETROIT, MI 48203 and the phone number is (313) 891-2740.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.