NPIMap

Organization Active NPI

Urgent Care of Alabama LLC

  • Urgent Care Clinic/Center
  • Gardendale, AL
National Provider Identifier
1962840728
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE OF ALABAMA LLC
Doing business as
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
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

210 Fieldstown Rd
Ste 124
Gardendale, AL 35071
Phone (205) 285-8252

1960 Gadsden Hwy
Ste 108
Trussville, AL 35235
Phone (205) 655-1016

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

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.

Verify at the official NPI Registry.