Provider Demographics
NPI:1124365143
Name:URGENT CARE OF FARMINGTON HILLS
Entity Type:Organization
Organization Name:URGENT CARE OF FARMINGTON HILLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NAMIR
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ZUKKOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-851-0500
Mailing Address - Street 1:30000 ORCHARD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4900
Mailing Address - Country:US
Mailing Address - Phone:248-851-0500
Mailing Address - Fax:
Practice Address - Street 1:30000 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4900
Practice Address - Country:US
Practice Address - Phone:248-851-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care