Organization Name: | ALLIANCE MOBILE ULTRASOUND |
NPI Number: | 1184954596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBYN BRADLEY (MANAGER) |
Mailing Address: | 100 Bridgeside Dr Nicholasville |
State: | KY US |
Postal Code: | 403562906 |
Phone Number: | 8598811588 |
Fax Number: | 8598819703 |
NPI Enumeration Date: | 01/06/2010 |
NPI Last Update Date: | 01/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 1004010146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |