Provider Demographics
NPI:1427040435
Name:MWV IMAGING CONSULTANTS, INC.
Entity Type:Organization
Organization Name:MWV IMAGING CONSULTANTS, INC.
Other - Org Name:SOUND MEDICAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CARTIER
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS, RT
Authorized Official - Phone:603-447-3313
Mailing Address - Street 1:PO BOX 2048
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-2048
Mailing Address - Country:US
Mailing Address - Phone:603-447-3313
Mailing Address - Fax:603-447-4310
Practice Address - Street 1:24 PLEASANT ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6151
Practice Address - Country:US
Practice Address - Phone:603-447-3313
Practice Address - Fax:603-447-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30212542Medicaid
01Y002516NH01OtherANTHEM-PROV.#
57405OtherCIGNA-PROV.#
NH30212542Medicaid