Organization Active NPI

Lakes Urgent Care-St Joseph Livonia Campus-PLLC

  • Urgent Care Clinic/Center
  • Livonia, MI
National Provider Identifier
1649658915
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
5101010234 Issued in MI
Legal business name
LAKES URGENT CARE-ST JOSEPH LIVONIA CAMPUS-PLLC
Doing business as
Lakes Urgent Care Livonia, PLLC
Practice address
36622 Five Mile Rd
Livonia, MI 48154-1900
Phone
(248) 926-9111
Fax
(248) 926-9112
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Dr. Sanford J Vieder, D.O.
Title
Medical Director
Phone
(248) 931-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 5101010234 MI Primary

Addresses

Primary practice location

36622 Five Mile Rd
Livonia, MI 48154-1900

Mailing address

2300 Haggerty Rd
Suite 1010
West Bloomfield, MI 48323-2184
Phone (248) 926-9111

Other names 1

  • Lakes Urgent Care Livonia, PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1649658915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1010",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-926-9111",
            "fax_number": "248-926-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "248-926-9111",
            "fax_number": "248-926-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES URGENT CARE-ST JOSEPH LIVONIA CAMPUS-PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "VIEDER",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-931-2274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "5101010234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Urgent Care Livonia, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.