Provider Demographics
NPI:1003942244
Name:PINNACLE ULTRASOUND CORP., LLC
Entity Type:Organization
Organization Name:PINNACLE ULTRASOUND CORP., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-864-3600
Mailing Address - Street 1:3250 W MARKET ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3336
Mailing Address - Country:US
Mailing Address - Phone:330-864-0600
Mailing Address - Fax:330-864-3600
Practice Address - Street 1:3250 W MARKET ST
Practice Address - Street 2:SUITE 107
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3336
Practice Address - Country:US
Practice Address - Phone:330-864-0600
Practice Address - Fax:330-864-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty