Active NPI
Urgent Care of Alabama LLC
- Urgent Care Clinic/Center
- Gardendale, AL
National Provider Identifier
1962840728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- URGENT CARE OF ALABAMA LLC
- Practice address
- 210 Fieldstown Rd
Suite 124
Gardendale, AL 35071-2408 - Phone
- (205) 285-8252
- Fax
- (205) 285-8262
- NPI assigned
- Jun 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Lasker
- Title
- Owner
- Phone
- (205) 515-0538
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 628-013 | AL | |
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
210 Fieldstown Rd
Suite 124
Gardendale, AL 35071-2408
Mailing address
1960 Gadsden Hwy Ste 108
Birmingham, AL 35235-4201
Phone (205) 655-1016
Other names 1
- Urgent Care of Alabama LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130909000197 | AL | Part B Supplier - Clinic/Group Practice | 9133362304 |
Receives reassigned benefits from 18 practitioners Practice locations: Birmingham, AL; Gardendale, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1962840728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 GADSDEN HWY STE 108",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352354201",
"telephone_number": "205-655-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 FIELDSTOWN RD",
"address_2": "SUITE 124",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712408",
"telephone_number": "205-285-8252",
"fax_number": "205-285-8262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT CARE OF ALABAMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-13",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "LASKER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-515-0538"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "AL",
"license": "628-013",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Urgent Care of Alabama LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.