UCH VASCULAR ACCESS ASC LLC NPI 1619487782

NPI Information

NPI: 1619487782
Provider Name: UCH VASCULAR ACCESS ASC LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 44D2164569

Address:
6490 MT MORIAH RD EXT STE 202
MEMPHIS, TN
ZIP 38115
Phone: (901) 366-5479
Get Directions

UCH VASCULAR ACCESS ASC LLC is an ambulatory surgical clinic center in Memphis, TN. UCH VASCULAR ACCESS ASC LLC NPI is 1619487782. The provider is registered as an organization entity type.

The provider's business location address is:

6490 MT MORIAH RD EXT STE 202
MEMPHIS, TN
ZIP 38115-841
Phone: (901) 366-5479

The provider's authorized official is Jonathan Mccullers .
The authorized official title is Authorized Official and has the following contact phone number (901) 866-8864.

The CLIA number assigned to this NPI record is 44D2164569 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 4/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q048088	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »