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FIVE LAKES MEDICAL GROUP PLLC
NPI 1770409849
Family Medicine in Hamtramck, MI

Active since June 24, 2026CLIA 23D2351848 · Waiver
11333 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212(313) 463-0653 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Five Lakes Medical Group Pllc NPPES

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

FIVE LAKES MEDICAL GROUP PLLC (NPI 1770409849) is a healthcare organization registered as a family medicine in Hamtramck, Michigan and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through October 4, 2028 and lists Ramzy Naji Aiyash, Physician, as its authorized official.

NPPES Registry Identity

NPI1770409849
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIVE LAKES MEDICAL GROUP PLLC
Location Address11333 JOSEPH CAMPAU STHamtramck, MI 48212-3038
Mailing Address800 Indianwood RdLake Orion, MI 48362-1320 · (313) 463-0653
Phone(313) 463-0653
Organization SubpartNo
Authorized OfficialRamzy Naji AiyashPhysician · (313) 463-0653
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1770409849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
11333 JOSEPH CAMPAU ST, Hamtramck, MI 48212
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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

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 23D2351848

Five Lakes Medical Group · Hamtramck, MI
Active · expires Oct 4, 2028
CLIA Number23D2351848
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 5, 2026
Certificate Expiration DateOctober 4, 2028
Laboratory DirectorRamzy Aiyash
Laboratory Phone(313) 463-0653
Laboratory LocationFive Lakes Medical Group11333 Joseph Campau, Hamtramck, MI 48212
CLIA data matches this NPI record on: Address Name Phone
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 Five Lakes Medical Group PLLC's NPI number?

The NPI number for Five Lakes Medical Group PLLC is 1770409849. It was assigned to this organization in the NPPES registry on June 24, 2026.

Where is Five Lakes Medical Group PLLC located?

Five Lakes Medical Group PLLC is located at 11333 Joseph Campau St, Hamtramck, MI 48212. The listed phone number is (313) 463-0653.

What is Five Lakes Medical Group PLLC's specialty?

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

Does Five Lakes Medical Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2351848) is associated with this NPI, valid through October 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Five Lakes Medical Group PLLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.