IMPERIAL BLUE MEDICAL LLC
NPI 1508669052
Nurse Practitioner - Family in Ruckersville, VA

Active since March 31, 2025CLIA 49D2337513 · Waiver
8296 SEMINOLE TRL, RUCKERSVILLE, VA 22968(434) 326-7531 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Imperial Blue Medical Llc NPPES

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

IMPERIAL BLUE MEDICAL LLC (NPI 1508669052), doing business as Ruckersville Urgent Care, is a healthcare organization registered as a family in Ruckersville, Virginia and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Kelsey Morris, Owner, as its authorized official.

NPPES Registry Identity

NPI1508669052
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIMPERIAL BLUE MEDICAL LLC
Location Address8296 SEMINOLE TRLRuckersville, VA 22968-3492
Mailing Address8296 Seminole TrlRuckersville, VA 22968-3492 · (434) 481-4322
Organization SubpartNo
Authorized OfficialKelsey MorrisOwner · (434) 326-7531
Enumeration DateMarch 31, 2025
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1508669052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
8296 SEMINOLE TRL, Ruckersville, VA 22968

Other Names 1

Doing Business AsRuckersville Urgent Care

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

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 49D2337513

Imperial Blue Medical LLC Dba Ruckersville Urgent Care · Ruckersville, VA
Active · expires Jan 24, 2028
CLIA Number49D2337513
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorKelsey L. Morris
Laboratory Phone(434) 481-4322
Laboratory LocationImperial Blue Medical LLC Dba Ruckersville Urgent Care8296 Seminole Trail, Ruckersville, VA 22968
CLIA data matches this NPI record on: 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.

Nurse Practitioner (Family)
8296 SEMINOLE TRL
RUCKERSVILLE, VA 22968

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 Imperial Blue Medical LLC's NPI number?

The NPI number for Imperial Blue Medical LLC is 1508669052. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is doing business as Ruckersville Urgent Care.

Where is Imperial Blue Medical LLC located?

Imperial Blue Medical LLC is located at 8296 Seminole Trl, Ruckersville, VA 22968. The listed phone number is (434) 326-7531.

What is Imperial Blue Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Imperial Blue Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2337513) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imperial Blue Medical LLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.