Provider Demographics
NPI:1578854600
Name:RELIABLE ULTRASOUND LLC
Entity Type:Organization
Organization Name:RELIABLE ULTRASOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RUPE
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS, RVT
Authorized Official - Phone:702-324-5950
Mailing Address - Street 1:2019 WOODSPRING TER
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3243
Mailing Address - Country:US
Mailing Address - Phone:702-616-3387
Mailing Address - Fax:702-487-3013
Practice Address - Street 1:2019 WOODSPRING TER
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3243
Practice Address - Country:US
Practice Address - Phone:702-616-3387
Practice Address - Fax:702-487-3013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-24
Last Update Date:2011-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory