BONAFIDE CARE PLLC
NPI 1952279754
Internal Medicine in Lincoln Park, MI

Q: What is Bonafide Care PLLC's NPI number?

The NPI number for Bonafide Care PLLC is 1952279754. It was assigned to this organization in the NPPES registry on October 24, 2025.

Q: What is Bonafide Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 24, 2025CLIA 23D2334633 · Waiver

1158 FORT ST, LINCOLN PARK, MI 48146(313) 925-3325 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bonafide Care Pllc NPPES

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

BONAFIDE CARE PLLC (NPI 1952279754) is a healthcare organization registered as an internal medicine in Lincoln Park, Michigan and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Diana El Masri, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1952279754

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBONAFIDE CARE PLLC

Location Address1158 FORT STLincoln Park, MI 48146-1840

Mailing Address1158 Fort StLincoln Park, MI 48146-1840 · Fax (313) 925-3325

Phone(313) 925-3325

Organization SubpartNo

Authorized OfficialDiana El MasriBilling Manager · (248) 215-0048

Enumeration DateOctober 24, 2025

Last NPPES UpdateDecember 11, 2025

NPPES CertifiedDecember 11, 2025

✔ NPI 1952279754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

1158 FORT ST, Lincoln Park, MI 48146

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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 Waiver 23D2334633

Bonafide Care PLLC · Lincoln Park, MI

Active · expires Nov 24, 2027

CLIA Number23D2334633

Laboratory TypePhysician Office

Certificate Effective DateNovember 25, 2025

Certificate Expiration DateNovember 24, 2027

Laboratory DirectorAmir Jundi

Laboratory Phone(313) 925-3325

Laboratory LocationBonafide Care PLLC1158 Fort Street, Lincoln Park, MI 48146

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

BORHAN MUTHANA RPH

Pharmacist