Provider Demographics
NPI:1699104844
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:VP RADIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KREPSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-362-5391
Mailing Address - Street 1:201 DALE EARNHARDT BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-0303
Mailing Address - Country:US
Mailing Address - Phone:704-403-7406
Mailing Address - Fax:704-403-7548
Practice Address - Street 1:201 DALE EARNHARDT BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-0303
Practice Address - Country:US
Practice Address - Phone:704-403-7406
Practice Address - Fax:704-403-7548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty