Provider Demographics
NPI:1225105430
Name:CAROL A MACLEAN
Entity Type:Organization
Organization Name:CAROL A MACLEAN
Other - Org Name:BEDSIDE DIAGNOSTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER SONOGRAPHER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MACLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS AB OB RVT RT
Authorized Official - Phone:828-271-4949
Mailing Address - Street 1:101 FRIENDLY LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4704
Mailing Address - Country:US
Mailing Address - Phone:828-271-4949
Mailing Address - Fax:206-203-4697
Practice Address - Street 1:101 FRIENDLY LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-4704
Practice Address - Country:US
Practice Address - Phone:828-271-4949
Practice Address - Fax:206-203-4697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile