Healthcare Provider Details

I. General information

NPI: 1285341537
Provider Name (Legal Business Name): SPECIALTY MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13530 MICHIGAN AVE STE 110
DEARBORN MI
48126-3575
US

IV. Provider business mailing address

44056 MOUND RD STE 105
STERLING HEIGHTS MI
48314-1357
US

V. Phone/Fax

Practice location:
  • Phone: 313-572-0810
  • Fax: 313-572-0811
Mailing address:
  • Phone: 313-572-0810
  • Fax: 313-572-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. YOUSEF ALMADRAHI
Title or Position: ADMINISTRATOR
Credential:
Phone: 248-828-6924