Leelanau Urgent Care, PC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

LEELANAU URGENT CARE, PC

Doing business as

Leelanau Diagnostic Imaging

Practice address

650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587

Phone

(231) 271-6511

Fax

(231) 271-6519

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

David Lemak, MD

Title

President

Phone

(231) 271-6511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leelanau Diagnostic Imaging Doing business as

Tax ID family

Leelanau Diagnostic Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Leelanau Urgent Care, PC

  • General Practice Physician
  • Suttons Bay, MI
  • NPI 1518383678
  NPD tax ID

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1588083836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELANAU URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "LEMAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-271-6511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4500089",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leelanau Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leelanau Opco, LLC
• Leelanau Physical Therapy, PC
• Leelanau Thrive PLLC
• Leelanau Urgent Care, PC
• Leelanau Urgent Care, PC
• Molly Lowe, FNP
• Ryan J. Luna, PT, DPT
• Michelle Marie Macdonald, PA-C
• Mark a Priest DO PC
• Michelle Martines

• Radiology Clinic/Center in Suttons Bay, MI
• Providers in Suttons Bay, MI by specialty
• Radiology Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.