FASTMED URGENT CARE OF CHARLOTTE - WILKINSON
NPI 1376880096
Non-Pharmacy Dispensing Site in Charlotte, NC
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 34D2042613
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-14-2026
About FASTMED URGENT CARE OF CHARLOTTE - WILKINSON
This page provides the complete NPI Profile along with additional information for Fastmed Urgent Care Of Charlotte - Wilkinson, a provider established in Charlotte, North Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1376880096 assigned on January 2013. The practitioner's primary taxonomy code is 332900000X with license number 75966 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Fastmed Urgent Care Of Charlotte - Wilkinson. The authorized official of this NPI record is Kenny Heine (Vp Ops)
- NPI
- 1376880096 Verify this NPI
- Provider Legal Name
- URGENT CARES OF AMERICA NORTH CAROLINA INC
- Other Organization Name
- FASTMED URGENT CARE OF CHARLOTTE - WILKINSON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3250 WILKINSON BLVD SUITE 1 CHARLOTTE, NC 28208
- Location Phone
- (704) 319-5176
- Mailing Address
- 5626 OBERLIN DR 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-15-2013
- Last Update Date
- 01-15-2013
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 75966
- License State
- NC
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- 34D2042613
- Facility Type
- Physician Office
- Certificate Effective Date
- June 15, 2024
- Certificate Expiration Date
- June 14, 2026
- Laboratory Director
- THOMAS BRANT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fastmed Urgent Care Of Charlotte - Wilkinson 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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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28208
CHARLOTTE, NC 28208
CHARLOTTE, NC 28208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376880096, enumerated as an "organization" on January 15, 2013.
The provider is located at 3250 WILKINSON BLVD SUITE 1 CHARLOTTE, NC 28208 and the phone number is (704) 319-5176.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
