Active NPI
Ultimate Care Medical Services LLC
- Clinical Medical Laboratory
- Ashland, KY
National Provider Identifier
1821340282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 18D1102645
- Legal business name
- ULTIMATE CARE MEDICAL SERVICES LLC
- Practice address
- 3655 Winchester Ave
Ashland, KY 41101 - Phone
- (606) 393-4632
- NPI assigned
- Oct 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose O Uradu, MD
- Title
- Lab Director
- Phone
- (606) 393-4632
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 18D1102645 | KY | Primary |
Addresses
Primary practice location
3655 Winchester Ave
Ashland, KY 41101
Mailing address
3655 Winchester Ave
Ashland, KY 41101
Phone (606) 393-4632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100090030 | Medicaid | KY |
Other names 1
- Ultimate Treatment Center Lab
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1102645 | Ultimate Care Medical Services, LLC | Certificate of waiver | Feb 11, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349827200000",
"number": "1821340282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41101",
"telephone_number": "606-393-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41101",
"telephone_number": "606-393-4632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTIMATE CARE MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A",
"authorized_official_last_name": "URADU",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "LAB DIRECTOR",
"authorized_official_telephone_number": "606-393-4632",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "KY",
"license": "18D1102645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100090030",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ultimate Treatment Center Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.