Provider Demographics
NPI:1417109034
Name:NEW LIFE ULTRASOUND, INC.
Entity Type:Organization
Organization Name:NEW LIFE ULTRASOUND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIRKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-454-4117
Mailing Address - Street 1:24550 VILLAGE WALK PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5257
Mailing Address - Country:US
Mailing Address - Phone:951-894-6539
Mailing Address - Fax:951-894-6573
Practice Address - Street 1:24550 VILLAGE WALK PL
Practice Address - Street 2:SUITE B
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5257
Practice Address - Country:US
Practice Address - Phone:951-894-6539
Practice Address - Fax:951-894-6573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty