Professional Plaza Clinic Corporation

LBN: Professional Plaza Clinic Corporation
Professional Plaza Clinic Corporation is an health care organization with primary practice located at 2395 W Grand Blvd , Detroit MI 48208-1210. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Professional Plaza Clinic Corporation can be contacted via phone (313) 831-2442, or through Mcbride, Andrea P via phone (313) 218-2709.

Contact Information

Primary practice address
2395 W Grand Blvd Detroit MI 48208-1210
Phone: (313) 831-2442
Fax: (313) 831-2444
Website:
Map and Directions
Authorized official contact:
Name: Mcbride, Andrea P
Phone: (313) 218-2709

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X Michigan

Profile Details

NPI number 1992709331
LBN Legal business name Professional Plaza Clinic Corporation
DBA Doing business as
Authorized official Mcbride, Andrea P
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Dec 10th, 2025 - about last year

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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