Organization Name: | MEDICAL ULTRASOUND SERVICES, LLC |
NPI Number: | 1811027246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM GRANT BURMER (MANAGING DIRECTOR) |
Mailing Address: | 21890 Colorado Ave San Joaquin |
State: | CA US |
Postal Code: | 93660 |
Phone Number: | 5592830146 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
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: |