Provider Demographics
NPI:1306344577
Name:UNION MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:UNION MEDICAL SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KREPSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-512-7601
Mailing Address - Street 1:103 STANLY PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:LOCUST
Mailing Address - State:NC
Mailing Address - Zip Code:28097-7711
Mailing Address - Country:US
Mailing Address - Phone:980-323-7000
Mailing Address - Fax:980-323-7001
Practice Address - Street 1:103 STANLY PKWY STE E
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-7711
Practice Address - Country:US
Practice Address - Phone:980-323-7000
Practice Address - Fax:980-323-7001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNION MEDICAL SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology