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SALTA OF SHELBY TOWNSHIP PLLC
NPI 1962158303
Family Medicine in Shelby Township, MI

Active since February 24, 2022CLIA 23D2255536 · Waiver
50505 SCHOENHERR RD STE 230, SHELBY TOWNSHIP, MI 48315(586) 803-3484(586) 803-3354 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Salta Of Shelby Township Pllc NPPES

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

SALTA OF SHELBY TOWNSHIP PLLC (NPI 1962158303) is a healthcare organization registered as a family medicine in Shelby Township, Michigan and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Lauren Wilson, Director Of Human Resources, as its authorized official.

NPPES Registry Identity

NPI1962158303
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSALTA OF SHELBY TOWNSHIP PLLC
Location Address50505 SCHOENHERR RD STE 230Shelby Township, MI 48315-3140
Mailing Address1627 W Big Beaver RdTroy, MI 48084-3501 · (248) 220-1560 · Fax (248) 220-1563
Phone(586) 803-3484
Fax(586) 803-3354
Organization SubpartNo
Authorized OfficialLauren WilsonDirector Of Human Resources · (248) 861-0010
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1962158303 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.
50505 SCHOENHERR RD STE 230, Shelby Township, MI 48315
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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 23D2255536

Salta Of Shelby Township, PLLC · Shelby Township, MI
Active · expires Mar 14, 2028
CLIA Number23D2255536
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorAnthony Cardellio
Laboratory Phone(586) 803-3484
Laboratory LocationSalta Of Shelby Township, PLLC51221 Schenherr Road Suite 103, Shelby Township, MI 48315
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. BRIAN LAWRENCE GOODWIN DPM
Podiatrist
50505 SCHOENHERR RD STE 230
SHELBY TOWNSHIP, MI 48315
Macomb County (248) 651-0008
ANTHONY LOUIS CARDELLIO D.O.
Family Medicine
50505 SCHOENHERR RD STE 230
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 803-3484

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 Salta Of Shelby Township PLLC's NPI number?

The NPI number for Salta Of Shelby Township PLLC is 1962158303. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Salta Of Shelby Township PLLC located?

Salta Of Shelby Township PLLC is located at 50505 Schoenherr Rd Ste 230, Shelby Township, MI 48315. The listed phone number is (586) 803-3484.

What is Salta Of Shelby Township PLLC's specialty?

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

Does Salta Of Shelby Township PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2255536) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salta Of Shelby Township PLLC 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 Salta Of Shelby Township PLLC 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 Salta Of Shelby Township PLLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.