NPIMap

Organization Active NPI

Michigan Medical Clinics, Inc

  • Urgent Care Clinic/Center
  • Southfield, MI
National Provider Identifier
1154705374
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MICHIGAN MEDICAL CLINICS, INC
Practice address
29984 Telegraph Rd
Ste B
Southfield, MI 48034-1355
Phone
(248) 933-1224
NPI assigned
Jul 17, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Alex Olkhovsky
Title
President of Board of Directors
Phone
(248) 933-1224

Practitioners 12

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

National Provider Directory

National Provider Directory

Locations

29984 Telegraph Rd
Ste B
Southfield, MI 48034
Phone (248) 933-1224

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

29984 Telegraph Rd
Ste B
Southfield, MI 48034-1355

Mailing address

2601 Kingstowne Dr
Commerce TWP, MI 48390-2712
Phone (248) 933-1224

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2015.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1154705374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 KINGSTOWNE DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483902712",
            "telephone_number": "248-933-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29984 TELEGRAPH RD",
            "address_2": "STE B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341355",
            "telephone_number": "248-933-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MEDICAL CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "OLKHOVSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "248-933-1224"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.