| Organization Name: | ULTRA CARE CLINICS LLC |
| NPI Number: | 1285034108 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IMRAN AZAM MIRZA (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1132 Cooper St Deptford |
| State: | NJ US |
| Postal Code: | 080963014 |
| Phone Number: | 8568488060 |
| Fax Number: | 8568488038 |
| NPI Enumeration Date: | 08/27/2014 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 25MA08024700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |