Provider Demographics
NPI:1982856167
Name:URGENT CARE ONE, PLLC
Entity type:Organization
Organization Name:URGENT CARE ONE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:NASRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-367-9100
Mailing Address - Street 1:6200 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2409
Mailing Address - Country:US
Mailing Address - Phone:734-367-9100
Mailing Address - Fax:
Practice Address - Street 1:6200 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2409
Practice Address - Country:US
Practice Address - Phone:734-367-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENT CARE ONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052864261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care