Organization Name: | ULTRACARE DIAGNOSTICS LLC |
NPI Number: | 1184958944 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA VAYMAN (MEMBER) |
Mailing Address: | 19 Phelps Ave Tenafly |
State: | NJ US |
Postal Code: | 076702819 |
Phone Number: | 7186129292 |
Fax Number: | 2014848485 |
NPI Enumeration Date: | 09/28/2009 |
NPI Last Update Date: | 01/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |