Active NPI
Masri Clinic for Laser & Cosmetic
- General Practice Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301053444
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatina Masri, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301052487 | MI | |
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4867754 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Masri Clinic for Laser Cosmetic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Dearborn, MI
- NPI 1639282163
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.
-
- General Practice Physician
- Dearborn, MI
- NPI 1013180322
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.