Healthcare Provider Details
I. General information
NPI: 1033090725
Provider Name (Legal Business Name): SERENITY URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4744 EAST SUNRISE DRIVE
TUCSON AZ
85718
US
IV. Provider business mailing address
4744 EAST SUNRISE DRIVE
TUCSON AZ
85718
US
V. Phone/Fax
- Phone: 917-723-3145
- Fax:
- Phone: 917-723-3145
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JODEE
B
MEDDY
Title or Position: OWNER
Credential: DO
Phone: 917-723-3145