Provider Demographics
NPI:1043371834
Name:MOBILE ULTRASOUND SERVICES INC
Entity Type:Organization
Organization Name:MOBILE ULTRASOUND SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDIENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RIMA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS RVT RDCS
Authorized Official - Phone:901-347-0607
Mailing Address - Street 1:5130 WHEELIS DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4520
Mailing Address - Country:US
Mailing Address - Phone:901-347-0607
Mailing Address - Fax:901-347-0339
Practice Address - Street 1:5130 WHEELIS DR
Practice Address - Street 2:SUITE 1
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4520
Practice Address - Country:US
Practice Address - Phone:901-347-0607
Practice Address - Fax:901-347-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory