NPIMap

Organization Active NPI

South Blvd Walk-in Clinic PLLC

  • Urgent Care Clinic/Center
  • Auburn Hills, MI
National Provider Identifier
1285051813
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4301080465 Issued in MI
Legal business name
SOUTH BLVD WALK-IN CLINIC PLLC
Practice address
2191 South Blvd
Auburn Hills, MI 48326-3481
Phone
(248) 724-1420
Fax
(248) 724-1430
NPI assigned
Mar 20, 2014
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Horia M. Tatu, M.D.NPI 1093833535
Title
Owner
Phone
(248) 202-2022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 4301080465 MI Primary

Addresses

Primary practice location

2191 South Blvd
Auburn Hills, MI 48326-3481

Mailing address

2191 South Blvd
Auburn Hills, MI 48326-3481
Phone (248) 724-1420

Other identifiers 1

IdentifierTypeStateIssuer
1093833535OtherMINPI

National Provider Directory

National Provider Directory

Locations

2191 South Blvd
Auburn Hills, MI 48326
Phone (248) 724-1420

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1285051813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263481",
            "telephone_number": "248-724-1420",
            "fax_number": "248-724-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263481",
            "telephone_number": "248-724-1420",
            "fax_number": "248-724-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BLVD WALK-IN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "TATU",
        "authorized_official_first_name": "HORIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-202-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301080465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093833535",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.