Lifetime MD Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LIFETIME MD URGENT CARE PLLC

Practice address

1022 N Telegraph Rd
Dearborn, MI 48128-1622

Phone

(313) 998-6300

NPI assigned

Jun 1, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Mahmoud Dwaik, NP

Title

Provider

Phone

(313) 998-6300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1831838473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281622",
            "telephone_number": "313-998-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281622",
            "telephone_number": "313-998-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME MD URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "DWAIK",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-998-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Pharmacy LLC
• Life-Line Diagnostics, Inc.
• Life-Line Home Health, Inc.
• Life-Line Imaging Holding, LLC
• Lifetime HRT, PLLC (Lifetime HRT, LLC)
• Lifetime Pharmacy
• Lifetime RX Pharmacy
• Jillian Anne Liford
• Lifting Star's Community Services
• Nevaeh Liggins

• Urgent Care Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.