Provider Demographics
NPI:1457095895
Name:UNITED MEDICAL STAFFING LLC
Entity Type:Organization
Organization Name:UNITED MEDICAL STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMLAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-510-0954
Mailing Address - Street 1:101 KAREN LN
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8660
Mailing Address - Country:US
Mailing Address - Phone:757-510-0954
Mailing Address - Fax:
Practice Address - Street 1:101 KAREN LN
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8660
Practice Address - Country:US
Practice Address - Phone:757-510-0954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service