JACKSON URGENT CARE PLLC NPI 1528643723

NPI Information

  • NPI: 1528643723
  • Provider Name: JACKSON URGENT CARE PLLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 23D2223018
  • Address: 1407 E MICHIGAN AVE
    JACKSON, MI
    ZIP 49202
  • Phone: (313) 377-5758

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NPI Details

JACKSON URGENT CARE PLLC is an urgent care clinic center in Jackson, MI. JACKSON URGENT CARE PLLC NPI is 1528643723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1407 E MICHIGAN AVE
JACKSON, MI
ZIP 49202-517
Phone: (313) 377-5758

The provider's authorized official is Ibrahim H Dabaja .
The authorized official title is Director/owner and has the following contact phone number (517) 888-6348.

The CLIA number assigned to this NPI record is 23D2223018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2021 and was last updated on 12/19/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineNo
2261QU0200XClinic/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: 11/21/2025

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