Provider Demographics
NPI:1487181897
Name:SCRN LLC
Entity Type:Organization
Organization Name:SCRN LLC
Other - Org Name:FAMILY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRIVIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-650-9888
Mailing Address - Street 1:149 WELTON WAY
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9163
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3007 WESLEY CHAPEL STOUTS RD
Practice Address - Street 2:SUITE B
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7941
Practice Address - Country:US
Practice Address - Phone:704-412-3612
Practice Address - Fax:704-412-3614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-16
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care