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BLUE WATER URGENT CARE MARYSVILLE
NPI 1821834805
Clinic/Center - Urgent Care in Marysville, MI

Active since July 08, 2024CLIA 23D2312442 · Accreditation
1600 GRATIOT BLVD, MARYSVILLE, MI 48040(810) 676-3360 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Water Urgent Care Marysville NPPES

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

BLUE WATER URGENT CARE MARYSVILLE (NPI 1821834805) is a healthcare organization registered as an urgent care in Marysville, Michigan and active in the NPI registry since July 2024. The organization holds an CLIA Accreditation certificate valid through October 9, 2027 and lists Ibrahim Dabaja, President, as its authorized official.

NPPES Registry Identity

NPI1821834805
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBLUE WATER URGENT CARE MARYSVILLE
Location Address1600 GRATIOT BLVDMarysville, MI 48040-1145
Mailing Address1600 Gratiot BlvdMarysville, MI 48040-1145
Phone(810) 676-3360
Organization SubpartNo
Authorized OfficialIbrahim DabajaPresident · (810) 676-3360
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1821834805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1600 GRATIOT BLVD, Marysville, MI 48040
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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 Accreditation 23D2312442

Blue Water Urgent Care Marysville · Marysville, MI
Active · expires Oct 9, 2027
CLIA Number23D2312442
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorZiyan Y. Pessetto
Laboratory Phone(810) 676-3360
Laboratory LocationBlue Water Urgent Care Marysville1600 Gratiot Blvd Building 1A, Marysville, MI 48040
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

DINA M WURMLINGER
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200
SAMANTHA V SAMPSON
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200
KAREN L JONAS
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200
TABITHA M PATTERSON
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200
KAITLYN GRAW
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200
JULIE A TANNER
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200
LOIS KOON
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200
SHERYL BURTON
Technician (Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 388-1200

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 Blue Water Urgent Care Marysville's NPI number?

The NPI number for Blue Water Urgent Care Marysville is 1821834805. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is Blue Water Urgent Care Marysville located?

Blue Water Urgent Care Marysville is located at 1600 Gratiot Blvd, Marysville, MI 48040. The listed phone number is (810) 676-3360.

What is Blue Water Urgent Care Marysville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Blue Water Urgent Care Marysville hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D2312442) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Water Urgent Care Marysville was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.