My Urgent Care, PC
Organization Active NPI Urgent Care Clinic/Center · Woodbridge, VA
NPI 1972794592 · NPPES record last updated Feb 12, 2016
Key facts
- NPI
- 1972794592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- MY URGENT CARE, PC
- Practice address
- 14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817 - Phone
- (703) 497-1234
- Fax
- (703) 499-9988
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rana Sandhar
- Title
- General Manager
- Phone
- (703) 497-1234
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817
Mailing address
14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817
Phone (703) 497-1234
Other names
- Urgent Medical Care of Lake Ridge
NPI Registry JSON
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455235200000",
"number": "1972794592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14527 JEFFERSON DAVIS HWY",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221912817",
"telephone_number": "703-497-1234",
"fax_number": "703-499-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14527 JEFFERSON DAVIS HWY",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221912817",
"telephone_number": "703-497-1234",
"fax_number": "703-499-9988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY URGENT CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2016-02-12",
"status": "A",
"authorized_official_last_name": "SANDHAR",
"authorized_official_first_name": "RANA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "703-497-1234",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Urgent Medical Care of Lake Ridge",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.