PREFERRED URGENT CARE LLC
NPI 1881181055
Clinic/Center - Urgent Care in Chicago, IL
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 14D2146857
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-05-2028
About PREFERRED URGENT CARE LLC
This page provides the complete NPI Profile along with additional information for Preferred Urgent Care Llc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1881181055 assigned on April 2018. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Preferred Urgent Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tania Khamoo (Administrator)
- NPI
- 1881181055 Verify this NPI
- Provider Name
- PREFERRED URGENT CARE LLC
- Entity Type
- Organization
- Location Address
- 4849 W FULLERTON AVE CHICAGO, IL 60639
- Location Phone
- (773) 309-6740
- Location Fax
- (773) 237-6606
- Mailing Address
- 4849 W FULLERTON AVE CHICAGO, IL 60639
- Mailing Phone
- (773) 309-6740
- Mailing Fax
- (773) 237-6606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-13-2018
- Last Update Date
- 12-14-2018
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
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.
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
- 14D2146857
- Facility Type
- Physician Office
- Certificate Effective Date
- April 06, 2026
- Certificate Expiration Date
- April 05, 2028
- Laboratory Director
- NASER RUSTOM M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Preferred Urgent Care Llc 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 15 providers are registered at the same or a nearby location.
CHICAGO, IL 60639
CHICAGO, IL 60639
CHICAGO, IL 60639
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881181055, enumerated as an "organization" on April 13, 2018.
The provider is located at 4849 W FULLERTON AVE CHICAGO, IL 60639 and the phone number is (773) 309-6740.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
