ULTIMATE MEDICAL CLINIC LLC
NPI 1922692003
Clinic/Center - Primary Care in Debary, FL
About Ultimate Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ULTIMATE MEDICAL CLINIC LLC (NPI 1922692003) is a healthcare organization registered as a primary care in Debary, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Jamie Grainger, Owner/chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2224663
Ultimate Medical Clinic · Debary, FLOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ultimate Medical Clinic LLC's NPI number?
The NPI number for Ultimate Medical Clinic LLC is 1922692003. It was assigned to this organization in the NPPES registry on March 1, 2021.
Where is Ultimate Medical Clinic LLC located?
Ultimate Medical Clinic LLC is located at 70 Fox Ridge Ct Ste A, Debary, FL 32713. The listed phone number is (386) 668-6321.
What is Ultimate Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Ultimate Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2224663) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ultimate Medical Clinic LLC was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
