PREMISE HEALTH OF MICHIGAN MEDICAL PC
NPI 1790356764
Clinic/Center - Multi-Specialty in Detroit, MI
About Premise Health Of Michigan Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF MICHIGAN MEDICAL PC (NPI 1790356764), doing business as Dtna - Detroit, is a healthcare organization registered as a multi-specialty in Detroit, Michigan and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 23D0866139
Premise Health Of Michigan Medical, P C · Detroit, MIFrequently 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 Premise Health Of Michigan Medical PC's NPI number?
The NPI number for Premise Health Of Michigan Medical PC is 1790356764. It was assigned to this organization in the NPPES registry on July 9, 2021. The provider is doing business as DTNA - Detroit.
Where is Premise Health Of Michigan Medical PC located?
Premise Health Of Michigan Medical PC is located at 13440 W Outer Dr, Detroit, MI 48239. The listed phone number is (313) 324-8180.
What is Premise Health Of Michigan Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of Michigan Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0866139) is associated with this NPI, valid through March 8, 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 Premise Health Of Michigan Medical PC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
