Organization Name: | ULTRASOUND IMAGING SERVICES |
NPI Number: | 1356626675 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY LYNN DAWSON (OWNER) |
Mailing Address: | 1562 El Paso Dr Norco |
State: | CA US |
Postal Code: | 928603891 |
Phone Number: | 9098417241 |
Fax Number: | 9517345136 |
NPI Enumeration Date: | 10/18/2011 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |