Healthcare Provider Details

I. General information

NPI: 1467914994
Provider Name (Legal Business Name): VELOCITY URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7394 HARBOUR TOWNE PKWY STE 5
SUFFOLK VA
23435-3473
US

IV. Provider business mailing address

7394 HARBOUR TOWNE PKWY STE 5
SUFFOLK VA
23435-3473
US

V. Phone/Fax

Practice location:
  • Phone: 757-772-6124
  • Fax:
Mailing address:
  • Phone:
  • 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: ALAN AYERS
Title or Position: PRESIDENT
Credential:
Phone: 815-713-2600