Provider Demographics
NPI:1427700707
Name:ELITE URGENT CARE
Entity type:Organization
Organization Name:ELITE URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASSER
Authorized Official - Middle Name:
Authorized Official - Last Name:NASSERI-ASL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-354-3772
Mailing Address - Street 1:700 GEIPE ROAD
Mailing Address - Street 2:ST 200
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228
Mailing Address - Country:US
Mailing Address - Phone:443-354-3772
Mailing Address - Fax:443-354-3767
Practice Address - Street 1:6100 DOBBIN ROAD
Practice Address - Street 2:UNIT A
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:443-354-3772
Practice Address - Fax:443-354-3767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care