ALLEN PARK MEDICAL CENTER PLLC - NPI 1992527493 - Clinic/Center in Allen Park, MI

Q: What is Allen Park Medical Center PLLC's NPI number?

The NPI number for Allen Park Medical Center PLLC is 1992527493. It was assigned to this organization in the NPPES registry on October 28, 2024.

Q: What is Allen Park Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Allen Park Medical Center Pllc NPPES

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

ALLEN PARK MEDICAL CENTER PLLC (NPI 1992527493) is a healthcare organization registered as a clinic/center in Allen Park, Michigan and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Mo Mazloum, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1992527493

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameALLEN PARK MEDICAL CENTER PLLC

Location Address7105 ALLEN RDAllen Park, MI 48101-2009

Mailing Address7105 Allen RdAllen Park, MI 48101-2009 · (313) 509-5999 · Fax (313) 509-6500

Phone(313) 509-5999

Fax(313) 509-6500

Organization SubpartNo

Authorized OfficialMo MazloumBusiness Manager · (313) 509-5999

Enumeration DateOctober 28, 2024

Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration

NPPES CertifiedDecember 23, 2024

✔ NPI 1992527493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

7105 ALLEN RD, Allen Park, MI 48101

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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 23D2321360

Allen Park Medical Center Urgent Care · Allen Park, MI

Active · expires Apr 2, 2027

CLIA Number23D2321360

Laboratory TypeIndependent

Certificate Effective DateApril 3, 2025

Certificate Expiration DateApril 2, 2027

Laboratory DirectorKefah Mazloum

Laboratory Phone(313) 509-5999

Laboratory LocationAllen Park Medical Center Urgent Care7105 Allen Road, Allen Park, MI 48101

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 10

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

ATEEQ K REHMAN M.D.

Physical Medicine & Rehabilitation (Pain Medicine)