1649149725 NPI number — UNITED MEDICAL SERVICES GROUP, LLC

Table of content: (NPI 1649149725)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649149725 NPI number — UNITED MEDICAL SERVICES GROUP, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED MEDICAL SERVICES GROUP, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649149725
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 E BAY ST STE 1806
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32202-2970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-616-3172
Provider Business Mailing Address Fax Number:
915-221-0468

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
309 REGENCY PKWY STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANSFIELD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76063-5165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-616-3172
Provider Business Practice Location Address Fax Number:
915-221-0468
Provider Enumeration Date:
11/05/2025

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
904-616-3172

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com