Mack Advanced Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MACK ADVANCED CENTER, LLC

Practice address

7612 Gratiot Ave Ste 2
Detroit, MI 48213-2822

Phone

(313) 548-3787

NPI assigned

Mar 5, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lakeisha WilliamsNPI 1962228445

Title

Office Manager

Phone

(313) 548-3787

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakeisha Williams

  • Phlebotomy Technician
  • Grosse Pointe, MI
  • NPI 1962228445
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1134075880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 E JEFFERSON AVE STE 400",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074105",
            "telephone_number": "313-444-1242",
            "fax_number": "313-279-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 GRATIOT AVE STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132822",
            "telephone_number": "313-548-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK ADVANCED CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-548-3787"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Cunningham Macfarlane, M.D.
• Suhasini Macha, MD
• Zeinab Machhour
• Sarah Machowicz, MD
• Tenecia Machupa
• Mack Medical Management LLC
• Mack-Moross Pharmacy LLC
• Curtis McKinley Mack, MD
• Damone Denise Mack
• Kamiah Omokah Denies Mack

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.