Provider Demographics
NPI:1346960796
Name:URGENT CARE 365 PLLC
Entity Type:Organization
Organization Name:URGENT CARE 365 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYAA
Authorized Official - Middle Name:
Authorized Official - Last Name:OUZA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:734-506-0378
Mailing Address - Street 1:17876 FARMINGTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3104
Mailing Address - Country:US
Mailing Address - Phone:734-506-0378
Mailing Address - Fax:
Practice Address - Street 1:17876 FARMINGTON RD STE 100
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3104
Practice Address - Country:US
Practice Address - Phone:734-506-0378
Practice Address - Fax:734-744-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care