Organization Active NPI

Xpress 1 Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
National Provider Identifier
1831625656
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
XPRESS 1 URGENT CARE PC
Practice address
24825 Michigan Ave Ste B
Dearborn, MI 48124-1758
Phone
(313) 565-3365
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Wayle Katrib, MD
Title
Owner
Phone
(734) 404-6647

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

24825 Michigan Ave Ste B
Dearborn, MI 48124-1758

Mailing address

49237 Fox Dr N
Plymouth, MI 48170-5205
Phone (734) 717-5723

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1831625656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49237 FOX DR N",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705205",
            "telephone_number": "734-717-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24825 MICHIGAN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241758",
            "telephone_number": "313-565-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS 1 URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "KATRIB",
        "authorized_official_first_name": "WAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-404-6647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "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 May 11, 2017; 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.