Healthcare Provider Details

I. General information

NPI: 1619825155
Provider Name (Legal Business Name): QUADCARE MOBILE UNIT (URGENT CARE)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28211 SOUTHFIELD RD UNIT 760060
LATHRUP VILLAGE MI
48076-7008
US

IV. Provider business mailing address

28211 SOUTHFIELD RD UNIT 760060
LATHRUP VILLAGE MI
48076-7008
US

V. Phone/Fax

Practice location:
  • Phone: 313-785-8685
  • Fax:
Mailing address:
  • Phone: 313-785-8685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CYRIL DAVIS
Title or Position: CO CHAIRPERSON
Credential: DNP, PMHNP-BC
Phone: 313-785-8685