Provider Demographics
NPI:1124628193
Name:LIVONIA URGENT CARE & MEDICAL CENTER PLLC
Entity type:Organization
Organization Name:LIVONIA URGENT CARE & MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULHADI
Authorized Official - Middle Name:
Authorized Official - Last Name:SINAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-843-8300
Mailing Address - Street 1:28275 FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-3998
Mailing Address - Country:US
Mailing Address - Phone:313-843-8300
Mailing Address - Fax:
Practice Address - Street 1:28275 FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3998
Practice Address - Country:US
Practice Address - Phone:313-843-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1841242245Other1-NPI