Organization Active NPI

Meadowbrook Urgent Care PC

  • Urgent Care Clinic/Center
  • Prairieville, LA
National Provider Identifier
1104097625
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEADOWBROOK URGENT CARE PC
Practice address
37463 Dutton Rd
Suite 100
Prairieville, LA 70769-3502
Phone
(225) 313-3754
Fax
(225) 313-6012
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Rona Wadle, D.O.
Title
Owner/Medical Director
Phone
(248) 476-8500

Specialties & licenses 1

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

Addresses

Primary practice location

37463 Dutton Rd
Suite 100
Prairieville, LA 70769-3502

Mailing address

25500 Meadowbrook Rd
Novi, MI 48375-1845
Phone (248) 476-8500

National Provider Directory

National Provider Directory
Tax ID family
Meadowbrook Urgent Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

37463 Dutton Rd
Ste 100
Prairieville, LA 70769
Phone (225) 313-3754

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1104097625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751845",
            "telephone_number": "248-476-8500",
            "fax_number": "248-543-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37463 DUTTON RD",
            "address_2": "SUITE 100",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693502",
            "telephone_number": "225-313-3754",
            "fax_number": "225-313-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WADLE",
        "authorized_official_first_name": "RONA",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-476-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.