Organization
ULTIMATE CARE MEDICAL SERVICES LLC
Active
Other names
Ultimate Treatment Center Lab
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE O URADU MD (LAB DIRECTOR)
(606) 393-4632
Entity
Organization
Contact information
Practice address
3655 WINCHESTER AVE, ASHLAND, KY 41101
(606) 393-4632
Mailing address
3655 WINCHESTER AVE, ASHLAND, KY 41101
(606) 393-4632
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
18D1102645
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100090030
—
KY
Enumeration date
10/10/2012
Last updated
10/10/2012
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