BURTON URGENT CARE PLLC NPI 1790174076

General Practice in Burton, MI

NPI 1790174076 Organization General Practice CLIA Number 23D2095175 CLIA Certificate of Waiver

About BURTON URGENT CARE PLLC

Burton Urgent Care Pllc is a primary care provider established in Burton, Michigan specializing in general practice. The NPI number of Burton Urgent Care Pllc is 1790174076 and was assigned on January 2015. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Burton Urgent Care Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Khaled Shukairy M.d. (Owner)

A primary care provider (PCP) like Burton Urgent Care Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Burton Urgent Care Pllc is 23D2095175 registered as a "other practitioner" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Burton 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.

NPI

1790174076

Provider NameBURTON URGENT CARE PLLC
Provider Location Address1501 S CENTER RD BLDG A BURTON, MI 48509
Provider Mailing Address1501 S CENTER RD BLDG A BURTON, MI 48509
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-09-2015
Last Update Date04-24-2015


Primary Taxonomy

Taxonomy Code208D00000X
ClassificationGeneral Practice
TypeAllopathic & Osteopathic Physicians

Business Address

BURTON URGENT CARE PLLC
1501 S CENTER RD BLDG A
BURTON, MI
ZIP 48509
Phone: (810) 820-8706
Fax: (810) 742-7990

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Mailing Address

BURTON URGENT CARE PLLC
1501 S CENTER RD BLDG A
BURTON, MI
ZIP 48509
Phone: (810) 820-8706
Fax: (810) 742-7990



Authorized Official

Authorized Official NameDR. KHALED SHUKAIRY M.D.
Authorized Official TitleOWNER
Authorized Official Phone(810) 742-0225

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 the NPI number 1790174076 is:

CLIA Number23D2095175
Facility TypeOTHER PRACTITIONER
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902419955 RANIM BAROUDI
Individual
Counselor1501 S CENTER RD BLDG A
BURTON, MI 48509
(810) 820-8706

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.