| Organization Name: | PREMIER MOBILE ULTRASOUND INC |
| NPI Number: | 1245531383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI HARNISCHFEGER (OWNER) |
| Mailing Address: | 52 Woodside Dr Penfield |
| State: | NY US |
| Postal Code: | 145262240 |
| Phone Number: | 5857609889 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2010 |
| NPI Last Update Date: | 11/05/2010 |
| 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: | |