Provider Demographics
NPI:1215003967
Name:EDGER ASSOCIATES INC
Entity Type:Organization
Organization Name:EDGER ASSOCIATES INC
Other - Org Name:MOBILE ULTRASOUND SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:TERENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-977-3200
Mailing Address - Street 1:720 EAST FLETCHER AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-2639
Mailing Address - Country:US
Mailing Address - Phone:813-977-3200
Mailing Address - Fax:813-972-5395
Practice Address - Street 1:720 EAST FLETCHER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-2639
Practice Address - Country:US
Practice Address - Phone:813-977-3200
Practice Address - Fax:813-972-5395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC55692085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE1536Medicare ID - Type Unspecified