Organization Name: | ULTRASOUND SPECIALTIES, LLC |
NPI Number: | 1083668552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM SAVAGE (OWNER) |
Mailing Address: | 3051 S White Mountain Rd Suite D Show Low |
State: | AZ US |
Postal Code: | 859017435 |
Phone Number: | 9285320535 |
Fax Number: | 9285320537 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 02/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | 41660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |