We take our dog here for checkups or when he seems to not be feeling well. 4 stars because my dog is healthy and happy. I suppose they are as quick as can be expected, and the staff all seems to truly love animals. We have been customers for over 4 years and have never had a particular complaint. We have the Wellness Plan, and rarely have to pay out of pocket for anything for Nismo. I have no reason to go anywhere else.