Provider Demographics
NPI:1629129655
Name:ULTRASOUND ASSOCIATES
Entity Type:Organization
Organization Name:ULTRASOUND ASSOCIATES
Other - Org Name:PORTABLE ULTRASOUND ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:NOLIN
Authorized Official - Last Name:ALBARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-820-8295
Mailing Address - Street 1:5055 SEMINARY RD
Mailing Address - Street 2:STE 104
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-2034
Mailing Address - Country:US
Mailing Address - Phone:703-820-8295
Mailing Address - Fax:703-820-8366
Practice Address - Street 1:5055 SEMINARY RD STE 104
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-2026
Practice Address - Country:US
Practice Address - Phone:703-820-8295
Practice Address - Fax:703-820-8366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA100635Medicare PIN