Provider Demographics
NPI:1114919859
Name:DIAGNOSTIC ULTRASOUND SERVICES, INC.
Entity Type:Organization
Organization Name:DIAGNOSTIC ULTRASOUND SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOREN
Authorized Official - Middle Name:DWAIN
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-250-9488
Mailing Address - Street 1:PO BOX 9023
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67277-0023
Mailing Address - Country:US
Mailing Address - Phone:316-558-8660
Mailing Address - Fax:
Practice Address - Street 1:7829 E ROCKHILL ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3914
Practice Address - Country:US
Practice Address - Phone:316-558-8660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology