SOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC
NPI 1568931897
Clinic/Center in Southfield, MI

Q: What is Southfield Premier Urgent Care And Walk-In Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 15, 2018CLIA 23D2157060 · Waiver

17070 W 12 MILE RD STE A, SOUTHFIELD, MI 48076(248) 559-2280(248) 559-3752 Get Directions Write a Review

NPPES record last updated: July 5, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 5, 2020, Nov 15, 2018 (2 updates tracked since 2018).

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About Southfield Premier Urgent Care And Walk-in Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC (NPI 1568931897) is a healthcare organization registered as a clinic/center in Southfield, Michigan and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Rafid Y Mansour, Physician/medical Director, as its authorized official.

NPPES Registry Identity

NPI1568931897

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC

Location Address17070 W 12 MILE RD STE ASouthfield, MI 48076-2116

Mailing Address17070 W 12 Mile Rd Ste ASouthfield, MI 48076-2116 · (248) 559-2280 · Fax (248) 559-3752

Phone(248) 559-2280

Fax(248) 559-3752

Organization SubpartNo

Authorized OfficialRafid Y MansourPhysician/medical Director · (248) 559-2280

Enumeration DateNovember 15, 2018

Last NPPES UpdateJuly 5, 20202 updates tracked since enumeration

NPPES CertifiedJuly 5, 2020

✔ NPI 1568931897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

17070 W 12 MILE RD STE A, Southfield, MI 48076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2157060

Southfield Premier Urgent Care And Walk-In Clinic PLLC · Southfield, MI

Active · expires Oct 29, 2026

CLIA Number23D2157060

Laboratory TypeUrgent Care/Walk In Clin

Certificate Effective DateOctober 30, 2024

Certificate Expiration DateOctober 29, 2026

Laboratory DirectorRafid Y. Mansour

Laboratory Phone(248) 559-2280

Laboratory LocationSouthfield Premier Urgent Care And Walk-In Clinic PLLC17070 W 12 Mile Road Suite A, Southfield, MI 48076

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAFID Y MANSOUR M.D.

Internal Medicine

17070 W 12 MILE RD STE A
SOUTHFIELD, MI 48076

Oakland County (248) 559-2280

SOUTHFIELD PREMIER PRIMARY CARE PLLC

Clinic/Center (Primary Care)

17070 W 12 MILE RD STE A
SOUTHFIELD, MI 48076

Oakland County (248) 559-2280

Frequently 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 Southfield Premier Urgent Care And Walk-In Clinic PLLC's NPI number?

The NPI number for Southfield Premier Urgent Care And Walk-In Clinic PLLC is 1568931897. It was assigned to this organization in the NPPES registry on November 15, 2018.

Where is Southfield Premier Urgent Care And Walk-In Clinic PLLC located?

Southfield Premier Urgent Care And Walk-In Clinic PLLC is located at 17070 W 12 Mile Rd Ste A, Southfield, MI 48076. The listed phone number is (248) 559-2280.

What is Southfield Premier Urgent Care And Walk-In Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Southfield Premier Urgent Care And Walk-In Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2157060) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southfield Premier Urgent Care And Walk-In Clinic 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 3 other insurers list Southfield Premier Urgent Care And Walk-In Clinic 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 Southfield Premier Urgent Care And Walk-In Clinic PLLC was last updated on July 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.