DEDICATED SENIOR MEDICAL CENTER SOUTHFIELD
NPI 1982280038
Non-Pharmacy Dispensing Site in Southfield, MI

Active since March 19, 2021CLIA 23D2228610 · Waiver
21816 W 11 MILE RD, SOUTHFIELD, MI 48076(248) 375-4040 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Mar 19, 2021 (2 updates tracked since 2021).

About Dedicated Senior Medical Center Southfield NPPES

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

DEDICATED SENIOR MEDICAL CENTER SOUTHFIELD (NPI 1982280038) is a healthcare organization registered as a non-pharmacy dispensing site in Southfield, Michigan and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Mary Chen, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1982280038
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED PHYSICIANS GROUP OF MICHIGAN PLLC
Location Address21816 W 11 MILE RDSouthfield, MI 48076-3724
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Organization SubpartYesParent: Dedicated Senior Medical Center
Authorized OfficialMary ChenExecutive Officer · (305) 628-6117
Enumeration DateMarch 19, 2021
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1982280038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
21816 W 11 MILE RD, Southfield, MI 48076

Other Names 1

Doing Business AsDedicated Senior Medical Center Southfield

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 23D2228610

Dedicated Senior Medical Center - Southfield · Southfield, MI
Active · expires Jun 28, 2027
CLIA Number23D2228610
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorGordon Chen
Laboratory Phone(305) 842-3910
Laboratory LocationDedicated Senior Medical Center - Southfield21816 West 11 Mile Road, Southfield, MI 48076
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Family Medicine
21816 W 11 MILE RD
SOUTHFIELD, MI 48076
Internal Medicine
21816 W 11 MILE RD
SOUTHFIELD, MI 48076
Internal Medicine
21816 W 11 MILE RD
SOUTHFIELD, MI 48076
Internal Medicine
21816 W 11 MILE RD
SOUTHFIELD, MI 48076
Family Medicine
21816 W 11 MILE RD
SOUTHFIELD, MI 48076
Family Medicine
21816 W 11 MILE RD
SOUTHFIELD, MI 48076
Family Medicine
21816 W 11 MILE RD
SOUTHFIELD, MI 48076

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 Dedicated Physicians Group Of Michigan PLLC's NPI number?

The NPI number for Dedicated Physicians Group Of Michigan PLLC is 1982280038. It was assigned to this organization in the NPPES registry on March 19, 2021. The provider is doing business as Dedicated Senior Medical Center Southfield.

Where is Dedicated Physicians Group Of Michigan PLLC located?

Dedicated Physicians Group Of Michigan PLLC is located at 21816 W 11 Mile Rd, Southfield, MI 48076. The listed phone number is (248) 375-4040.

What is Dedicated Physicians Group Of Michigan PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Dedicated Physicians Group Of Michigan PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2228610) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dedicated Physicians Group Of Michigan PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 32 other insurers list Dedicated Physicians Group Of Michigan 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 Dedicated Physicians Group Of Michigan PLLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.