Organization Name: | CREATIVE ULTRASOUND IMAGING INC. |
NPI Number: | 1013295963 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILOMINA DUESDIEKER (OWNER) |
Mailing Address: | 47 San Miguel Ave Ste. 4 Salinas |
State: | CA US |
Postal Code: | 939013058 |
Phone Number: | 8312723576 |
Fax Number: | 8312723576 |
NPI Enumeration Date: | 07/26/2011 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471V0105X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Vascular Sonography |
Taxonomy Definition: |