Organization Name: | MAS SOUND INC |
NPI Number: | 1366608671 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL MANCILLA (PRESIDENT) |
Mailing Address: | 2234 S 10th Ave North Riverside |
State: | IL US |
Postal Code: | 605461117 |
Phone Number: | 7087150696 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 94512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |