Provider Demographics
NPI:1326367079
Name:APEX URGENT CARE PLLC
Entity Type:Organization
Organization Name:APEX URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-561-8796
Mailing Address - Street 1:27301 SCHOENHERR RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6649
Mailing Address - Country:US
Mailing Address - Phone:586-754-8888
Mailing Address - Fax:586-754-8811
Practice Address - Street 1:27301 SCHOENHERR RD
Practice Address - Street 2:SUITE 106
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6649
Practice Address - Country:US
Practice Address - Phone:586-754-8888
Practice Address - Fax:586-754-8811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078766261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI740E035740OtherBC UC PIN
MI740E035740OtherBCN UC PIN
MI1902124019Medicaid
MIMI6102Medicare PIN