ST CLAIR ADULT MEDICINE PC
NPI 1871529552
Internal Medicine in Detroit, MI
- Organization
- Internal Medicine
- CLIA Number: 23D0370884
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-13-2027
About ST CLAIR ADULT MEDICINE PC
This page provides the complete NPI Profile along with additional information for St Clair Adult Medicine Pc, an internist established in Detroit, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1871529552 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mary Beth Hardwicke Md (President)
- NPI
- 1871529552 Verify this NPI
- Provider Name
- ST CLAIR ADULT MEDICINE PC
- Entity Type
- Organization
- Location Address
- 22201 MOROSS RD STE 150 DETROIT, MI 48236
- Location Phone
- (313) 886-8787
- Location Fax
- (313) 886-4106
- Mailing Address
- 23411 JEFFERSON AVE STE 101 SAINT CLAIR SHORES, MI 48080
- Mailing Phone
- (586) 778-4080
- Mailing Fax
- (586) 778-6055
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2006
- Last Update Date
- 08-22-2020
- Code Navigator
An internist like St Clair Adult Medicine Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0370884
- Facility Type
- Physician Office
- Certificate Effective Date
- May 14, 2025
- Certificate Expiration Date
- May 13, 2027
- Laboratory Director
- QURESH T. KHAIRULLAH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to St Clair Adult Medicine Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for ST CLAIR ADULT MEDICINE PC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
DETROIT, MI 48236
DETROIT, MI 48236
DETROIT, MI 48236
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871529552, enumerated as an "organization" on June 24, 2006.
The provider is located at 22201 MOROSS RD STE 150 DETROIT, MI 48236 and the phone number is (313) 886-8787.
Internal Medicine with taxonomy code 207R00000X.
