Active NPI
Lakes Urgent Care-St Joseph Livonia Campus-PLLC
- Urgent Care Clinic/Center
- Livonia, MI
National Provider Identifier
1649658915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 5101010234
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.