PROMED URGENT CARE PLLC NPI 1396409454

NPI Information

NPI: 1396409454
Provider Name: PROMED URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2243630

Address:
19041 E 12 MILE RD STE 102
ROSEVILLE, MI
ZIP 48066
Phone: (586) 252-2937
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PROMED URGENT CARE PLLC is an urgent care clinic center in Roseville, MI. PROMED URGENT CARE PLLC NPI is 1396409454. The provider is registered as an organization entity type.

The provider's business location address is:

19041 E 12 MILE RD STE 102
ROSEVILLE, MI
ZIP 48066-609
Phone: (586) 252-2937

The provider's authorized official is Ankur Patel .
The authorized official title is Authorized Official and has the following contact phone number (586) 252-2937.

The CLIA number assigned to this NPI record is 23D2243630 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 10/4/2022.

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
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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