All Star Pediatrics
Organization Active NPI Specialist · Grand Blanc, MI
NPI 1184094682 · NPPES record last updated Sep 28, 2015
Key facts
- NPI
- 1184094682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 4301086642 (MI)
- Legal business name
- ALL STAR PEDIATRICS
- Practice address
- 8203 S Saginaw St
Grand Blanc, MI 48439-2434 - Phone
- (810) 584-7511
- NPI assigned
- Sep 28, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Shivani Choudhary, MD
- Title
- Owner
- Phone
- (810) 584-7511
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2105276 | All Star Pediatrics | Certificate of waiver | Nov 22, 2027 |
National Provider Directory
Locations
8203 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 953-3600
Interoperability endpoints
- https://api.platform.athenahealth.com/12426/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 4301086642 | MI | Yes |
Addresses
Primary practice location
8203 S Saginaw St
Grand Blanc, MI 48439-2434
Mailing address
8203 S Saginaw St
Grand Blanc, MI 48439-2434
Phone (810) 584-7511
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.