ST. JOHN HOSPITAL AND MEDICAL CENTER
NPI 1780716449
Clinic/Center in Detroit, MI

Active since March 09, 2007CLIA 23D2091927 · Waiver
22101 MOROSS RD, DETROIT, MI 48236(586) 753-0011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. John Hospital And Medical Center NPPES

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

ST. JOHN HOSPITAL AND MEDICAL CENTER (NPI 1780716449) is a healthcare organization registered as a clinic/center in Detroit, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Christoper J Palazzolo, V.p.-finance, as its authorized official.

NPPES Registry Identity

NPI1780716449
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST. JOHN HOSPITAL AND MEDICAL CENTER
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address28000 Dequindre RdWarren, MI 48092-2468 · (586) 753-0011
Organization SubpartNo
Authorized OfficialChristoper J PalazzoloV.p.-finance · (313) 343-3558
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1780716449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

22101 MOROSS RD, Detroit, MI 48236

Other Identifiers 1

Other0H21997MI · Bcbsm Pin

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2091927
Facility Type
School/Student Health Service
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
BEENA NAGAPPALA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. John Hospital And Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ST. JOHN HOSPITAL AND MEDICAL CENTER

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
22101 MOROSS RD, 313
DETROIT, MI 48236
Physician Assistant
22101 MOROSS RD, SUTIE 132 PB-1
DETROIT, MI 48236
Emergency Medicine (Emergency Medical Services)
22101 MOROSS RD
DETROIT, MI 48236
Surgery
22101 MOROSS RD
DETROIT, MI 48236
Nurse Anesthetist, Certified Registered
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Specialist
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Specialist
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Nurse Anesthetist, Certified Registered
22101 MOROSS RD
DETROIT, MI 48236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780716449, enumerated as an "organization" on March 09, 2007.

The provider is located at 22101 MOROSS RD DETROIT, MI 48236 and the phone number is (586) 753-0011.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.