| Organization Name: | PIQUE ULTRASOUND IMAGING SERVICES, LLC |
| NPI Number: | 1093769655 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM JAMES RYBAK (OWNER/SONOGRAPHER) |
| Mailing Address: | 1301 E 9th St Lehigh Acres |
| State: | FL US |
| Postal Code: | 339723367 |
| Phone Number: | 2398104419 |
| Fax Number: | 2393697279 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | HCC6873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |