UPSTATE URGENT CARE PLLC
NPI 1174194856
Clinic/Center - Urgent Care in Woodmere, NY
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 33D2250498
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-26-2027
About UPSTATE URGENT CARE PLLC
This page provides the complete NPI Profile along with additional information for Upstate Urgent Care Pllc, a provider established in Woodmere, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1174194856 assigned on July 2021. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Blimy Jacobs (Officer)
- NPI
- 1174194856 Verify this NPI
- Provider Name
- UPSTATE URGENT CARE PLLC
- Entity Type
- Organization
- Location Address
- 1000 RAILROAD AVE APT 1 WOODMERE, NY 11598
- Location Phone
- (516) 748-8800
- Mailing Address
- 1675 59TH ST BROOKLYN, NY 11204
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-05-2021
- Last Update Date
- 06-22-2022
- 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
- 33D2250498
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 10, 2024
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- SHALOM M. JAROSLAWICZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Upstate Urgent Care Pllc 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 1174194856, enumerated as an "organization" on July 05, 2021.
The provider is located at 1000 RAILROAD AVE APT 1 WOODMERE, NY 11598 and the phone number is (516) 748-8800.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
