Provider Demographics
NPI:1518007798
Name:ULTRASOUND & RADIOLOGY SPECIALTIES, INC.
Entity Type:Organization
Organization Name:ULTRASOUND & RADIOLOGY SPECIALTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:BROWNE
Authorized Official - Last Name:FOYE
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS ARDMS
Authorized Official - Phone:954-753-9213
Mailing Address - Street 1:9425 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4102
Mailing Address - Country:US
Mailing Address - Phone:954-753-9213
Mailing Address - Fax:954-825-0482
Practice Address - Street 1:9425 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065
Practice Address - Country:US
Practice Address - Phone:954-753-9213
Practice Address - Fax:954-825-0482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5886OtherHCC
E2591Medicare ID - Type Unspecified