SOUTHSHORE URGENT CARE PLLC.
NPI 1356804710
Clinic/Center - Urgent Care in Brownstown Twp, MI
About Southshore Urgent Care Pllc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSHORE URGENT CARE PLLC. (NPI 1356804710) is a healthcare organization registered as an urgent care in Brownstown Twp, Michigan and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Ibrahim Dabaja, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2170258
Southshore Urgent Care PLLC · Brownstown, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southshore Urgent Care PLLC.'s NPI number?
The NPI number for Southshore Urgent Care PLLC. is 1356804710. It was assigned to this organization in the NPPES registry on April 11, 2019.
Where is Southshore Urgent Care PLLC. located?
Southshore Urgent Care PLLC. is located at 20789 Gibraltar Rd, Brownstown Twp, MI 48183. The listed phone number is (734) 444-2961.
What is Southshore Urgent Care PLLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Southshore Urgent Care PLLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2170258) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southshore Urgent Care PLLC. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Southshore Urgent Care PLLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southshore Urgent Care PLLC. was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southshore Urgent Care Pllc. · NPI 1356804710
Urgent Care organization in Brownstown Twp, Michigan. Organization record, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1356804710 (Entity type: Organization)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Ibrahim Dabaja, OWNER
## Practice location
- **Address:** 20789 GIBRALTAR RD, Brownstown Twp, MI 48183-5087
- **Phone:** (734) 444-2961
## Record status
- **NPPES last updated:** December 19, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356804710) · Data from the CMS NPPES public registry.