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PANAGIA MEDICAL RECOVERY CLINIC PLLC
NPI 1801734249
Preventive Medicine - Addiction Medicine in Clinton Township, MI

Active since March 24, 2026CLIA 23D2341303 · Waiver
43191 DALCOMA DR STE 101, CLINTON TOWNSHIP, MI 48038(248) 810-4727(248) 810-4727 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 9, 2026, Mar 24, 2026 (3 updates tracked since 2026).

About Panagia Medical Recovery Clinic Pllc NPPES

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

PANAGIA MEDICAL RECOVERY CLINIC PLLC (NPI 1801734249) is a healthcare organization registered as an addiction medicine in Clinton Township, Michigan and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Mira Grace, Member, as its authorized official.

NPPES Registry Identity

NPI1801734249
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NamePANAGIA MEDICAL RECOVERY CLINIC PLLC
Location Address43191 DALCOMA DR STE 101Clinton Township, MI 48038-6308
Mailing Address43191 Dalcoma Dr Ste 101Clinton Township, MI 48038-6308 · (248) 810-4727 · Fax (248) 810-4727
Phone(248) 810-4727
Fax(248) 810-4727
Organization SubpartNo
Authorized OfficialMira GraceMember · (248) 810-4727
Enumeration DateMarch 24, 2026
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1801734249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
43191 DALCOMA DR STE 101, Clinton Township, MI 48038
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 23D2341303

Panagia Medical Recovery Clinic, PLLC · Clinton Township, MI
Active · expires Mar 30, 2028
CLIA Number23D2341303
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorMira Grace
Laboratory Phone(248) 810-4727
Laboratory LocationPanagia Medical Recovery Clinic, PLLC43191 Dalcoma Drive Suite 101, Clinton Township, MI 48038
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 2

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

S.S.HANS,M.D.,P.C.
Surgery (Vascular Surgery)
43191 DALCOMA DR STE 101
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 573-8030
DR. SACHINDER S HANS MD
Surgery (Vascular Surgery)
43191 DALCOMA DR STE 101
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 573-8030

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 Panagia Medical Recovery Clinic PLLC's NPI number?

The NPI number for Panagia Medical Recovery Clinic PLLC is 1801734249. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Panagia Medical Recovery Clinic PLLC located?

Panagia Medical Recovery Clinic PLLC is located at 43191 Dalcoma Dr Ste 101, Clinton Township, MI 48038. The listed phone number is (248) 810-4727.

What is Panagia Medical Recovery Clinic PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does Panagia Medical Recovery Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2341303) is associated with this NPI, valid through March 30, 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 Panagia Medical Recovery Clinic PLLC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.