Pediatric Potentials

LBN: Detroit Institute For Children
Pediatric Potentials is an health care organization with primary practice located at 19505 E 8 Mile Rd , Saint Clair Shores MI 48080-1643. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Multi-Specialty. Other Service Providers / Specialist is the primary health care specialty. Detroit Institute For Children can be contacted via phone (586) 445-8200, or through Cleary, Mark via phone (313) 832-1100.

Contact Information

Primary practice address
19505 E 8 Mile Rd Saint Clair Shores MI 48080-1643
Phone: (586) 445-8200
Fax: (586) 445-8201
Website:
Map and Directions
Authorized official contact:
Name: Cleary, Mark
Phone: (313) 832-1100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1477857365
LBN Legal business name Detroit Institute For Children
DBA Doing business as Pediatric Potentials
Authorized official Cleary, Mark
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2011
Last updated Apr 4th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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