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MOUND URGENT CARE PLLC NPI 1063159630


NPI Information

NPI: 1063159630
Provider Name: MOUND URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2268704

Address:
31200 MOUND RD
WARREN, MI
ZIP 48092
Phone: (248) 850-8395
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MOUND URGENT CARE PLLC is an urgent care clinic center in Warren, MI. MOUND URGENT CARE PLLC NPI is 1063159630. The provider is registered as an organization entity type.

The provider's business location address is:

31200 MOUND RD
WARREN, MI
ZIP 48092-734
Phone: (248) 850-8395
Fax: (248) 850-8495

The provider's authorized official is Fadi Demashkieh .
The authorized official title is Manager and has the following contact phone number (248) 561-1291.

The CLIA number assigned to this NPI record is 23D2268704 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2022 and was last updated on 6/28/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.