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MEDICINA SCARLETT LLC
NPI 1912602285
Family Medicine in Detroit, MI

Active since April 04, 2023CLIA 23D2283106 · Waiver
8631 W VERNOR HWY STE B1A, DETROIT, MI 48209(917) 885-5670 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Apr 4, 2023 (2 updates tracked since 2023).

About Medicina Scarlett Llc NPPES

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

MEDICINA SCARLETT LLC (NPI 1912602285) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Scarlett Idema, Family Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1912602285
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICINA SCARLETT LLC
Location Address8631 W VERNOR HWY STE B1ADetroit, MI 48209-3420
Mailing Address2932 Elmhurst AveRoyal Oak, MI 48073-3099 · (917) 885-5670
Phone(917) 885-5670
Organization SubpartNo
Authorized OfficialScarlett IdemaFamily Nurse Practitioner/owner · (917) 885-5670
Enumeration DateApril 4, 2023
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1912602285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8631 W VERNOR HWY STE B1A, Detroit, MI 48209
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2283106

Medicina Scarlett, LLC · Detroit, MI
Active · expires May 31, 2027
CLIA Number23D2283106
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorScarlett Idema
Laboratory Phone(917) 885-5670
Laboratory LocationMedicina Scarlett, LLC8631 W Vernor Highway Suite 1A, Detroit, MI 48209
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 Medicina Scarlett LLC's NPI number?

The NPI number for Medicina Scarlett LLC is 1912602285. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Medicina Scarlett LLC located?

Medicina Scarlett LLC is located at 8631 W Vernor Hwy Ste B1a, Detroit, MI 48209. The listed phone number is (917) 885-5670.

What is Medicina Scarlett LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Medicina Scarlett LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2283106) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medicina Scarlett LLC 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 Medicina Scarlett LLC 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 Medicina Scarlett LLC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.