Organization Active NPI

Medix Urgent Care Center LLC

  • Urgent Care Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1114236676
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDIX URGENT CARE CENTER LLC
Practice address
2331 N State Road 7 Ste 102
Lauderdale Lakes, FL 33313-3771
Phone
(954) 530-4355
Fax
(954) 530-4355
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Mrs. Yvette J Fletcher, ARNP
Title
Administrator
Phone
(954) 530-4355

Specialties & licenses 1

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

Addresses

Primary practice location

2331 N State Road 7 Ste 102
Lauderdale Lakes, FL 33313-3771

Mailing address

2331 N State Road 7 Ste 102
Lauderdale Lakes, FL 33313-3771
Phone (954) 530-4355

Other identifiers 1

IdentifierTypeStateIssuer
113649100MedicaidFL

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
10D1101278Medix Urgent Care Center2331 N State Road 7, Ste 102, Lauderhill, FL 33313Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Locations

3644 N Andrews Ave
Oakland Park, FL 33309
Phone (305) 979-1781

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1114236676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7 STE 102",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133771",
            "telephone_number": "954-530-4355",
            "fax_number": "954-530-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7 STE 102",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133771",
            "telephone_number": "954-530-4355",
            "fax_number": "954-530-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX URGENT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-530-4355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113649100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.