Provider Demographics
NPI:1366126559
Name:SPECIALTY MEDICAL CENTER INC
Entity type:Organization
Organization Name:SPECIALTY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMADRAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-828-6924
Mailing Address - Street 1:44056 MOUND RD STE 105
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1357
Mailing Address - Country:US
Mailing Address - Phone:313-572-0810
Mailing Address - Fax:313-572-0811
Practice Address - Street 1:13530 MICHIGAN AVE STE 110
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3575
Practice Address - Country:US
Practice Address - Phone:313-743-2300
Practice Address - Fax:313-572-0811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECIALTY MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care