Organization Active NPI

Alo Med PLLC

Doing business as Ida Family Wellness Center

  • Clinic/Center
  • Ida, MI
National Provider Identifier
1831113414
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301068044 Issued in MI
Legal business name
ALO MED PLLC
Doing business as
Ida Family Wellness Center
Practice address
3160 Lewis Ave
Ida, MI 48140-9703
Phone
(888) 432-3621
Fax
(866) 390-9167
NPI assigned
Jul 27, 2006
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Dr. Layth Maolood, MD, FACP, FAAPNPI 1790788701
Title
Physician
Phone
(734) 322-3379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301068044 MI Primary

Addresses

Primary practice location

3160 Lewis Ave
Ida, MI 48140-9703

Mailing address

3160 Lewis Ave
Ida, MI 48140-9703
Phone (888) 432-3621

Other names 1

  • Ida Family Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319001341 MI Part B Supplier - Clinic/Group Practice 5294625364 Receives reassigned benefits from 3 practitioners
Practice locations: Ida, MI
O20040524001186 OH Part B Supplier - Clinic/Group Practice 5294625364 Receives reassigned benefits from 1 practitioner
Practice locations: Sylvania, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1003983Ida Family Wellness Center3160 Lewis Avenue, Ida, MI 48140Certificate of waiverJun 8, 2028

National Provider Directory

National Provider Directory

Locations

1215 S Telegraph Rd
Monroe, MI 48161
Phone (734) 241-9533

1250 N Telegraph
Monroe, MI 48162
Phone (734) 242-4848

3520 N Monroe St
Monroe, MI 48162
Phone (734) 245-5100

667 W Sterns Rd
Temperance, MI 48182
Phone (734) 847-3217

6400 Monroe St
Ste C
Sylvania, OH 43560
Phone (419) 540-1886

624 Main St
Ste 2
Toledo, OH 43605
Phone (419) 292-0682

Practitioners & affiliated clinicians

Practitioners 4

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1831113414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 LEWIS AVE",
            "city": "IDA",
            "state": "MI",
            "postal_code": "481409703",
            "telephone_number": "888-432-3621",
            "fax_number": "866-390-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 LEWIS AVE",
            "city": "IDA",
            "state": "MI",
            "postal_code": "481409703",
            "telephone_number": "888-432-3621",
            "fax_number": "866-390-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALO MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "MAOLOOD",
        "authorized_official_first_name": "LAYTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-322-3379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP, FAAP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301068044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ida Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ida, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.