Organization Active NPI

Masri Clinic for Laser & Cosmetic

  • General Practice Physician
  • Dearborn, MI
National Provider Identifier
1487855391
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301053444 Issued in MI
Legal business name
MASRI CLINIC FOR LASER & COSMETIC
Practice address
13530 Michigan Ave
Suite 150
Dearborn, MI 48126
Phone
(313) 945-9800
Fax
(313) 945-9184
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Fatina Masri, MDNPI 1013180322
Title
Owner
Phone
(313) 945-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 4301052487 MI
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 4301053444 MI Primary

Addresses

Primary practice location

13530 Michigan Ave
Suite 150
Dearborn, MI 48126

Mailing address

13530 Michigan Ave
Suite 150
Dearborn, MI 48126
Phone (313) 945-9800

Other identifiers 1

IdentifierTypeStateIssuer
4867754MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Masri Clinic for Laser Cosmetic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13530 Michigan Ave
Ste 150
Dearborn, MI 48126
Phone (313) 945-9380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487855391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "SUITE 150",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-945-9800",
            "fax_number": "313-945-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "SUITE 150",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-945-9800",
            "fax_number": "313-945-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASRI CLINIC FOR LASER & COSMETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "FATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-945-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301052487",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301053444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4867754",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.