OrganizationActive
Woodward Boulevard Medical Building
NPI 1689151946 · Clinic/Center · Detroit, MI
Woodward Boulevard Medical Building is a Clinic/Center organization in Detroit, MI (NPI 1689151946).
Provider details
- NPI number
- 1689151946
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Latonya Wallace-Hardiman, Owner(313) 715-7170
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES 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
5830 Conner St
Detroit, MI 48213-3458
Phone: (313) 924-1456
Fax: (313) 636-2290
Street-level locationGet directions
Mailing address
5830 Conner St
Detroit, MI 48213-3458
Registry dates
- Enumerated
- 2018-07-19
- Last updated
- 2020-11-13
- Certified
- 2020-11-13
Frequently asked questions
- What is Woodward Boulevard Medical Building's NPI number?
- Woodward Boulevard Medical Building's National Provider Identifier (NPI) is 1689151946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woodward Boulevard Medical Building?
- Woodward Boulevard Medical Building is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Woodward Boulevard Medical Building located?
- Woodward Boulevard Medical Building's practice location on file with NPPES is 5830 Conner St, Detroit, MI 48213-3458.
- What is Woodward Boulevard Medical Building's phone number?
- The practice phone number listed in the NPPES registry for Woodward Boulevard Medical Building is (313) 924-1456.
- Who is the authorized official for Woodward Boulevard Medical Building?
- The authorized official listed on Woodward Boulevard Medical Building's NPPES record is Latonya Wallace-Hardiman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woodward Boulevard Medical Building's NPI active?
- Yes — Woodward Boulevard Medical Building's NPI (1689151946) is active in the NPPES registry as of the last update on 2020-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.