Organization Active NPI

Saint Clair Shores Prompt Care PLLC

  • Urgent Care Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1891098174
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SAINT CLAIR SHORES PROMPT CARE PLLC
Practice address
25631 Little Mack Avenue
Suite 104
Saint Clair Shores, MI 48081-2100
Phone
(586) 884-2727
Fax
(586) 566-1674
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Theodore L Tangalos, M.D.
Title
Owner
Phone
(586) 726-4823

Specialties & licenses 1

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

Addresses

Primary practice location

25631 Little Mack Avenue
Suite 104
Saint Clair Shores, MI 48081-2100

Mailing address

43455 Schoenherr Road
Suite 2
Sterling Heights, MI 48313-1972
Phone (586) 726-4823

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1891098174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR ROAD",
            "address_2": "SUITE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131972",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25631 LITTLE MACK AVENUE",
            "address_2": "SUITE 104",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812100",
            "telephone_number": "586-884-2727",
            "fax_number": "586-566-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLAIR SHORES PROMPT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "TANGALOS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-726-4823",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.