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EASTLAKE MEDICAL CENTER
NPI 1821267832
General Practice in Detroit, MI

Active since February 23, 2008
646 CHENE ST, DETROIT, MI 48207(248) 747-3425 Get Directions Write a Review

NPPES record last updated: February 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastlake Medical Center NPPES

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

EASTLAKE MEDICAL CENTER (NPI 1821267832) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since February 2008. The organization lists Bianca Felicia Dooley, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1821267832
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEASTLAKE MEDICAL CENTER
Location Address646 CHENE STDetroit, MI 48207-3979
Mailing Address17520 W 12 Mile Rd Ste 116Southfield, MI 48076-1907 · (248) 443-6711
Phone(248) 747-3425
Organization SubpartNo
Authorized OfficialBianca Felicia DooleyPresident Ceo · (248) 747-3425
Enumeration DateFebruary 23, 2008
✔ NPI 1821267832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
646 CHENE ST, Detroit, MI 48207
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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

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 Eastlake Medical Center's NPI number?

The NPI number for Eastlake Medical Center is 1821267832. It was assigned to this organization in the NPPES registry on February 23, 2008.

Where is Eastlake Medical Center located?

Eastlake Medical Center is located at 646 Chene St, Detroit, MI 48207. The listed phone number is (248) 747-3425.

What is Eastlake Medical Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Eastlake Medical Center was last updated on February 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.