MACK ADVANCED CENTER, LLC – NPI #1134075880
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

MACK ADVANCED CENTER, LLC is an AHC clinic located in DETROIT, MI. NPPES has assigned the NPI number 1134075880 to MACK ADVANCED CENTER, LLC on March 05, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MACK ADVANCED CENTER, LLC below.

NPI Profile for
MACK ADVANCED CENTER, LLC

NPI Number
1134075880
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MACK ADVANCED CENTER, LLC
Primary location
7612 GRATIOT AVE STE 2
DETROIT, MI 48213-2822
Phone: (313) 548-3787 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAKEISHA WILLIAMS
OFFICE MANAGER
Phone: (313) 548-3787
Updated
Certification Date
Mar 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.