NPIMap

Organization Active NPI

Lkes Urgent Care

  • Urgent Care Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1053791590
Registry record updated May 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
5601007367 Issued in MI
Legal business name
LKES URGENT CARE
Practice address
2300 Haggerty Rd Ste 1010
West Bloomfield, MI 48323-2185
Phone
(248) 926-9111
NPI assigned
May 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sanford Vieder, DO
Title
Medical Director
Phone
(248) 926-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 5601007367 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd Ste 1010
West Bloomfield, MI 48323-2185

Mailing address

2300 Haggerty Rd Ste 1010
West Bloomfield, MI 48323-2185

National Provider Directory

National Provider Directory
Tax ID family
Lkes Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432944000000",
    "number": "1053791590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 1010",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 1010",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232185",
            "telephone_number": "248-926-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKES URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A",
        "authorized_official_last_name": "VIEDER",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-926-9111",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "5601007367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.