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INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MICHIGAN PC NPI 1679663264


NPI Information

NPI: 1679663264
Provider Name: INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MICHIGAN PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 23D1021010

Address:
5429 WHITTAKER ROAD
YPSILANTI, MI
ZIP 48197
Phone: (734) 480-1400
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INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MICHIGAN PC is a clinic center in Ypsilanti, MI. The provider is 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). INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MICHIGAN PC NPI is 1679663264. The provider is registered as an organization entity type.

The provider's business location address is:

5429 WHITTAKER ROAD
YPSILANTI, MI
ZIP 48197
Phone: (734) 480-1400
Fax: (734) 480-1456

The provider's authorized official is Margaret Balemba Mekai-vekima .
The authorized official title is President and has the following contact phone number (734) 480-1400.

The CLIA number assigned to this NPI record is 23D1021010 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 2/23/2015.


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
1261Q00000XClinic/Center4301070863MICHIGANYes

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
1P00282079OTHERMICHIGANRAIL ROAD MEDICARE
20N65500MEDICARE PINMICHIGAN
31679663264OTHERNPI
4H25584MEDICARE UPINMICHIGAN
54471817MEDICAIDMICHIGAN
64301070863OTHERMICHIGANLICENSE

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

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