# MEDICINA SCARLETT EXPRESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033069893
- **Authorized official:** SCARLETT IDEMA NP (OWNER)
- **Authorized official phone:** (313) 889-2000

## Contact information

- **Practice address:** 7000 W VERNOR HWY, DETROIT, MI 48209-1553
- **Practice address phone:** (313) 889-2000
- **Practice address fax:** (313) 889-3000
- **Mailing address:** 2932 ELMHURST AVE, ROYAL OAK, MI 48073-3099
- **Mailing address phone:** (313) 889-2000
- **Mailing address fax:** (313) 889-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2026
- **Last updated:** 06/02/2026