CLIO URGENT CARE PLLC NPI 1114340171

NPI Information

NPI: 1114340171
Provider Name: CLIO URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2076668

Address:
4272 W VIENNA RD
CLIO, MI
ZIP 48420
Phone: (810) 919-9416
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CLIO URGENT CARE PLLC is an urgent care clinic center in Clio, MI. CLIO URGENT CARE PLLC NPI is 1114340171. The provider is registered as an organization entity type.

The provider's business location address is:

4272 W VIENNA RD
CLIO, MI
ZIP 48420-454
Phone: (810) 919-9416
Fax: (810) 686-1687

The provider's authorized official is Nusrat Javaid .
The authorized official title is Medical Director and has the following contact phone number (810) 919-9415.

The CLIA number assigned to this NPI record is 23D2076668 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2014 and was last updated on 11/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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