Provider Demographics
NPI:1821253097
Name:UCSL LLC
Entity Type:Organization
Organization Name:UCSL LLC
Other - Org Name:DOWNTOWN URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SONNY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAGGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-323-8823
Mailing Address - Street 1:916 OLIVE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1420
Mailing Address - Country:US
Mailing Address - Phone:314-436-9300
Mailing Address - Fax:
Practice Address - Street 1:916 OLIVE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1420
Practice Address - Country:US
Practice Address - Phone:314-436-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-27
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA1371Medicare PIN