Provider Demographics
NPI:1215391883
Name:ULTRASONICS DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:ULTRASONICS DIAGNOSTICS LLC
Other - Org Name:CITYCHOICE MEDICAL & DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CHIEF TECHNOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RCS, RVS
Authorized Official - Phone:718-497-1429
Mailing Address - Street 1:7309 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7418
Mailing Address - Country:US
Mailing Address - Phone:718-497-1429
Mailing Address - Fax:646-357-9739
Practice Address - Street 1:7309 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7418
Practice Address - Country:US
Practice Address - Phone:718-497-1429
Practice Address - Fax:718-357-9739
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ULTRASONICS DIAGNOSTICS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-11
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1215391883OtherNPI