Inkster Westland Urgent Care PC
Organization Active NPI Urgent Care Clinic/Center · Westland, MI
NPI 1861189151 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1861189151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- INKSTER WESTLAND URGENT CARE PC
- Practice address
- 1678 S Merriman Rd
Westland, MI 48186-5355 - Phone
- (734) 673-3769
- NPI assigned
- Apr 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Zeeshan Noor, MD
- Title
- President
- Phone
- (734) 673-3769
Practitioners 6
-
Zeeshan Noor, MD
-
Maria Nadia Nelson, MS, PA-C
-
Sara McKinniss, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2295361 | Inkster Westland Urgent Care PC | Certificate of waiver | Dec 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230824001453 | MI | Part B Supplier - Clinic/Group Practice | 5395108351 |
Receives reassigned benefits from 6 practitioners Practice locations: Westland, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1678 S Merriman Rd
Westland, MI 48186-5355
Mailing address
40675 Deer Creek CT
Canton, MI 48188-2234
Phone (734) 673-3769
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All providers in Westland, MI · Urgent Care Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.