Provider Demographics
NPI:1477658409
Name:ULTRA DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:ULTRA DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GHADA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-221-8422
Mailing Address - Street 1:2935 BASSINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1230
Mailing Address - Country:US
Mailing Address - Phone:281-221-8422
Mailing Address - Fax:281-361-6649
Practice Address - Street 1:2935 BASSINGHAM DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1230
Practice Address - Country:US
Practice Address - Phone:281-221-8422
Practice Address - Fax:281-361-6649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0018MLOtherBLUE CROSS / BLUE SHIELD
TX0018MLOtherBLUE CROSS / BLUE SHIELD