MIDWEST EXPRESS CARE 4, LLC
NPI 1154921294
Clinic/Center - Urgent Care in Portage, IN
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 15D2197033
- CLIA Cert. Type: Other - URGENT CARE CLINIC
- CLIA Exp. Date: 10-20-2026
About MIDWEST EXPRESS CARE 4, LLC
This page provides the complete NPI Profile along with additional information for Midwest Express Care 4, Llc, a provider established in Portage, Indiana operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1154921294 assigned on October 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Milap Shah (Owner)
- NPI
- 1154921294 Verify this NPI
- Provider Name
- MIDWEST EXPRESS CARE 4, LLC
- Entity Type
- Organization
- Location Address
- 6131 US HIGHWAY 6 STE C PORTAGE, IN 46368
- Location Phone
- (219) 841-9788
- Location Fax
- (219) 254-2364
- Mailing Address
- PO BOX 775342 CHICAGO, IL 60677
- Mailing Phone
- (219) 841-8788
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-28-2020
- Last Update Date
- 04-21-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2197033
- Facility Type
- Other - URGENT CARE CLINIC
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- DR. MICHELE KELLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Midwest Express Care 4, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154921294, enumerated as an "organization" on October 28, 2020.
The provider is located at 6131 US HIGHWAY 6 STE C PORTAGE, IN 46368 and the phone number is (219) 841-9788.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
