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BUC INDEPENDENCE LLC
NPI 1417330150
Clinic/Center - Urgent Care in Independence, KY

Active since June 30, 2015CLIA 18D1097867 · Waiver
2025 DECLARATION DR, INDEPENDENCE, KY 41051(859) 371-7900(859) 371-0489 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, Sep 13, 2024, Jul 19, 2024 and 3 more (6 updates tracked since 2015).

About Buc Independence Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUC INDEPENDENCE LLC (NPI 1417330150) is a healthcare organization registered as an urgent care in Independence, Kentucky and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Robert R So, Owner, as its authorized official.

NPPES Registry Identity

NPI1417330150
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBUC INDEPENDENCE LLC
Location Address2025 DECLARATION DRIndependence, KY 41051-7983
Mailing Address2025 Declaration DrIndependence, KY 41051-7983 · (859) 371-7900 · Fax (859) 371-0489
Phone(859) 371-7900
Fax(859) 371-0489
Organization SubpartNo
Authorized OfficialRobert R SoOwner · (859) 485-7900
Enumeration DateJune 30, 2015
Last NPPES UpdateOctober 4, 20246 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1417330150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2025 DECLARATION DR, Independence, KY 41051
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Other Identifiers 10

Medicaid2274177OH
Medicaid7100180440KY
Medicaid0152735OH
Medicaid7100204520KY
Medicaid7100351060KY
Medicaid7100408220KY
Medicaid0111587OH
Medicaid7100399770KY
Medicaid64076169KY
Medicaid7100423920KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1097867

Buc Independence LLC · Independence, KY
Active · expires Apr 5, 2027
CLIA Number18D1097867
Laboratory TypeOther
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorDr. Robert R. So
Laboratory Phone(859) 371-7900
Laboratory LocationBuc Independence LLC2025 Declaration Drive, Independence, KY 41051
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMAD A TULIMAT M. D.
Internal Medicine
2025 DECLARATION DR
INDEPENDENCE, KY 41051
Kenton County (859) 363-3330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buc Independence LLC's NPI number?

The NPI number for Buc Independence LLC is 1417330150. It was assigned to this organization in the NPPES registry on June 30, 2015.

Where is Buc Independence LLC located?

Buc Independence LLC is located at 2025 Declaration Dr, Independence, KY 41051. The listed phone number is (859) 371-7900.

What is Buc Independence LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Buc Independence LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1097867) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Buc Independence LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Buc Independence LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Buc Independence LLC was last updated on October 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.