Organization Active NPI

Life Medical Center Urgent Care PLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
National Provider Identifier
1710736277
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LIFE MEDICAL CENTER URGENT CARE PLC
Practice address
25325 Ford Rd Ste 200
Dearborn, MI 48128-1086
Phone
(313) 887-7774
NPI assigned
May 16, 2024
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Mohamed A Eldirani, MDNPI 1801139928
Title
Doctor/Owner
Phone
(313) 456-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

25325 Ford Rd Ste 200
Dearborn, MI 48128-1086

Mailing address

25325 Ford Rd Ste 200
Dearborn, MI 48128-1086
Phone (313) 887-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820001912 MI Part B Supplier - Clinic/Group Practice 3971041005 Receives reassigned benefits from 4 practitioners
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

25325 Ford Rd
Ste B
Dearborn, MI 48128
Phone (313) 887-7774

Practitioners & affiliated clinicians

Practitioners 4

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": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1710736277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25325 FORD RD STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281086",
            "telephone_number": "313-887-7774",
            "fax_number": "313-914-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 FORD RD STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281086",
            "telephone_number": "313-887-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL CENTER URGENT CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "ELDIRANI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "313-456-5050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.