RECOVERY MOBILE CLINIC
NPI 1902431653
Nurse Practitioner - Acute Care in Wixom, MI

Active since March 03, 2020
4706 PRODUCT DR STE 1, WIXOM, MI 48393(248) 567-2334 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, May 21, 2020, Apr 14, 2020 and 2 more (5 updates tracked since 2020).

About Recovery Mobile Clinic NPPES

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

RECOVERY MOBILE CLINIC (NPI 1902431653) is a healthcare organization registered as an acute care in Wixom, Michigan and active in the NPI registry since March 2020. The organization maintains a secondary practice location in Troy and lists Jordana Leanne Latozas, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1902431653
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameRECOVERY MOBILE CLINIC
Location Address4706 PRODUCT DR STE 1Wixom, MI 48393-2071
Mailing Address7111 Dixie Hwy # 142Clarkston, MI 48346-2077 · (248) 563-5735
Organization SubpartNo
Authorized OfficialJordana Leanne LatozasCeo/owner · (248) 563-5735
Enumeration DateMarch 3, 2020
Last NPPES UpdateDecember 3, 20255 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1902431653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Also ListedClinic/CenterTaxonomy 261Q00000X
4706 PRODUCT DR STE 1, Wixom, MI 48393

Secondary Practice Location 1

Location 11188 Wheaton DrTroy, MI 48083-1953 · Phone (248) 567-2334

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 23D2189063

Recovery Mobile Clinic · Clarkston, MI
Expired · Jul 26, 2026
CLIA Number23D2189063
Laboratory TypeMobile Clinic
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorIra Mickelson
Laboratory Phone(248) 563-5735
Laboratory LocationRecovery Mobile Clinic7111 Dixie Highway #142, Clarkston, MI 48346
CLIA data matches this NPI record on: 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 Recovery Mobile Clinic's NPI number?

The NPI number for Recovery Mobile Clinic is 1902431653. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Recovery Mobile Clinic located?

Recovery Mobile Clinic is located at 4706 Product Dr Ste 1, Wixom, MI 48393. The listed phone number is (248) 567-2334.

What is Recovery Mobile Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

What insurance does Recovery Mobile Clinic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Recovery Mobile Clinic 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 Recovery Mobile Clinic was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.