LAPEER PEDIATRICS P.C. NPI 1265623276

NPI Information

NPI: 1265623276
Provider Name: LAPEER PEDIATRICS, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D1078237

Address:
1083 SUNCREST DR
SUITE-A
LAPEER, MI
ZIP 48446
Phone: (810) 245-9700
Get Directions

LAPEER PEDIATRICS, P.C. is a primary care clinic center in Lapeer, MI. LAPEER PEDIATRICS, P.C. NPI is 1265623276. The provider is registered as an organization entity type.

The provider's business location address is:

1083 SUNCREST DR
SUITE-A
LAPEER, MI
ZIP 48446-421
Phone: (810) 245-9700
Fax: (810) 245-9703

The provider's authorized official is Mohammad Al Harastani .
The authorized official title is President and has the following contact phone number (810) 245-9700.

The CLIA number assigned to this NPI record is 23D1078237 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 2/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	4301067273	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5243111	OTHER	MICHIGAN	AETNA
2	1026494	OTHER	MICHIGAN	MCLAREN HEALTH PLAN
3	8572330001	OTHER	MICHIGAN	CIGNA
4	0P48210	OTHER		MEDICARE PTAN NUMBER
5	1026494	OTHER	MICHIGAN	MCLAREN HEALTH ADVANTAGE
6	1619968922	MEDICAID	MICHIGAN
7	350D410030	OTHER	MICHIGAN	BLUE CARE NETWORK
8	35-0-44-1237-1	OTHER	MICHIGAN	BCBS
9	41A87114	OTHER	MICHIGAN	HEALTH PLUS
10	F76263	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
11	526	OTHER	MICHIGAN	PPOM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »