OrganizationActive
Mack Advanced Center, LLC
NPI 1134075880 · Clinic/Center · Detroit, MI
Mack Advanced Center, LLC is a Clinic/Center organization in Detroit, MI (NPI 1134075880).
Provider details
- NPI number
- 1134075880
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lakeisha Williams, Office Manager(313) 548-3787
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7612 Gratiot Ave Ste 2
Detroit, MI 48213-2822
Phone: (313) 548-3787
Street-level locationGet directions
Mailing address
7612 Gratiot Ave Ste 2
Detroit, MI 48213-2822
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Mack Advanced Center, LLC's NPI number?
- Mack Advanced Center, LLC's National Provider Identifier (NPI) is 1134075880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mack Advanced Center, LLC?
- Mack Advanced Center, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mack Advanced Center, LLC located?
- Mack Advanced Center, LLC's practice location on file with NPPES is 7612 Gratiot Ave Ste 2, Detroit, MI 48213-2822.
- What is Mack Advanced Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mack Advanced Center, LLC is (313) 548-3787.
- Who is the authorized official for Mack Advanced Center, LLC?
- The authorized official listed on Mack Advanced Center, LLC's NPPES record is Lakeisha Williams, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mack Advanced Center, LLC's NPI active?
- Yes — Mack Advanced Center, LLC's NPI (1134075880) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.