Healthcare Provider Details

I. General information

NPI: 1003218595
Provider Name (Legal Business Name): U CITY URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8612 OLIVE BLVD
SAINT LOUIS MO
63132-2504
US

IV. Provider business mailing address

9554 LITZSINGER RD
SAINT LOUIS MO
63124-1486
US

V. Phone/Fax

Practice location:
  • Phone: 314-600-1335
  • Fax:
Mailing address:
  • Phone: 314-600-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JILING TSAI
Title or Position: ADMINISTRATOR
Credential: D.O
Phone: 314-600-1335