MEDICARE: SERENITY URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1033090725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY URGENT CARE LLC

Provider Business Mailing Address
First Line	:	4744 EAST SUNRISE DRIVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718
Country	:	US
Telephone Number	:	917-723-3145
Fax Number	:

Provider Business Practice Location Address
First Line	:	4744 EAST SUNRISE DRIVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718
Country	:	US
Telephone Number	:	917-723-3145
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JODEE B MEDDY
Credential	:	DO
Telephone Number	:	917-723-3145

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	12/17/2025

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