ADVANCED OB-GYN OF DEARBORN, P.C.
NPI 1831430909
Clinic/Center in Canton, MI

Active since March 13, 2013CLIA 23D2059029 · Waiver
2263 PINECROFT DR, UNIT 216, CANTON, MI 48188(501) 412-9552 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Ob-gyn Of Dearborn, P.c. NPPES

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

ADVANCED OB-GYN OF DEARBORN, P.C. (NPI 1831430909) is a healthcare organization registered as a clinic/center in Canton, Michigan and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Ghazala Azam Ahmed, President, as its authorized official.

NPPES Registry Identity

NPI1831430909
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameADVANCED OB-GYN OF DEARBORN, P.C.
Location Address2263 PINECROFT DR, UNIT 216Canton, MI 48188-2247
Mailing Address2421 Monroe StDearborn, MI 48124-3043 · (313) 447-0511 · Fax (313) 447-0496
Organization SubpartNo
Authorized OfficialGhazala Azam AhmedPresident · (501) 412-9552
Enumeration DateMarch 13, 2013
NPI 1831430909 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).
2263 PINECROFT DR, Canton, MI 48188

Accepted Insurance

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 23D2059029

Advanced Ob-Gyn Of Dearborn, PC · Dearborn, MI
Active · expires May 15, 2027
CLIA Number23D2059029
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorGhazala A. Azam
Laboratory Phone(313) 447-0511
Laboratory LocationAdvanced Ob-Gyn Of Dearborn, PC2421 Monroe Street Suite 201, Dearborn, MI 48124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Ob-Gyn Of Dearborn, P.C.'s NPI number?

The NPI number for Advanced Ob-Gyn Of Dearborn, P.C. is 1831430909. It was assigned to this organization in the NPPES registry on March 13, 2013.

Where is Advanced Ob-Gyn Of Dearborn, P.C. located?

Advanced Ob-Gyn Of Dearborn, P.C. is located at 2263 Pinecroft Dr Unit 216, Canton, MI 48188. The listed phone number is (501) 412-9552.

What is Advanced Ob-Gyn Of Dearborn, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Advanced Ob-Gyn Of Dearborn, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2059029) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Ob-Gyn Of Dearborn, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Advanced Ob-Gyn Of Dearborn, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Ob-Gyn Of Dearborn, P.C. was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.