OrganizationActive
Lakeside Urgent Care, P. C.
NPI 1720159304 · Urgent Care Clinic/Center · Clinton Township, MI
Provider details
- NPI number
- 1720159304
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Fadi Demashkieh, Owner(586) 412-0890
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
44472 Hayes Rd
Clinton Township, MI 48038-1090
Phone: (586) 412-0890
Fax: (586) 412-1065
Street-level locationGet directions
Mailing address
44472 Hayes Rd
Clinton Township, MI 48038-1090
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.