Provider Demographics
NPI:1700472644
Name:AS MEDICAL GROUP MADISON HEIGHTS URGENT CARE PLC
Entity Type:Organization
Organization Name:AS MEDICAL GROUP MADISON HEIGHTS URGENT CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-353-1346
Mailing Address - Street 1:32600 JOHN R RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-1338
Mailing Address - Country:US
Mailing Address - Phone:248-307-7796
Mailing Address - Fax:248-307-7801
Practice Address - Street 1:32600 JOHN R RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1338
Practice Address - Country:US
Practice Address - Phone:248-307-7796
Practice Address - Fax:248-307-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care