Organization Active NPI

AMC Medical Clinic Group Inc.

Doing business as Lifeline Express Care & Infusions

  • Urgent Care Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1104635754
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMC MEDICAL CLINIC GROUP INC.
Doing business as
Lifeline Express Care & Infusions
Practice address
5501 Cabrera Drive, Unit 902
Sugarland, TX 77479
Phone
(516) 851-2458
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Anju Chacko, MD
Title
Ceo / Medical Director
Phone
(516) 851-2458

Specialties & licenses 1

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

Addresses

Primary practice location

5501 Cabrera Drive, Unit 902
Sugarland, TX 77479

Mailing address

4543 Royal Bend LN
Sugar Land, TX 77479-1565

Other names 1

  • Lifeline Express Care & Infusions Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2320712Lifeline Express Care and Infusions5501 Cabrera Drive, Unit 902, Sugar Land, TX 77479Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

5501 Cabrera Dr
Ste 902
Sugar Land, TX 77479
Phone (516) 851-2458

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1104635754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 ROYAL BEND LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 CABRERA DRIVE, UNIT 902",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "516-851-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC MEDICAL CLINIC GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-04",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "ANJU",
        "authorized_official_title_or_position": "CEO / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-851-2458",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Express Care & Infusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.