Organization Active NPI

Professional Diagnostic Services, Inc

Doing business as PDS Medical, Inc

  • Respite Care
  • Lawrence, KS
National Provider Identifier
1265486724
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
PROFESSIONAL DIAGNOSTIC SERVICES, INC
Doing business as
PDS Medical, Inc
Practice address
2601 Iowa Street
Lawrence, KS 66046
Phone
(785) 856-0909
Fax
(785) 371-4025
NPI assigned
May 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ben Ubelaker
Title
Account Manager
Phone
(785) 241-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X KS Primary

Addresses

Primary practice location

2601 Iowa Street
Lawrence, KS 66046

Mailing address

2601 Iowa St
Lawrence, KS 66046-4106
Phone (785) 856-0909

Other identifiers 2

IdentifierTypeStateIssuer
100445480AMedicaidKS
118076OtherKSBC/BS PROVIDER NUMBER

Other names 1

  • PDS Medical, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2601 Iowa St
Lawrence, KS 66046
Phone (785) 749-2166

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265486724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464106",
            "telephone_number": "785-856-0909",
            "fax_number": "785-371-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 IOWA STREET",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66046",
            "telephone_number": "785-856-0909",
            "fax_number": "785-371-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "UBELAKER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "785-241-9666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100445480A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "118076",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDS Medical, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.