Provider Demographics
NPI:1710209861
Name:KRISLAN OF NEW ENGLAND, LLC
Entity Type:Organization
Organization Name:KRISLAN OF NEW ENGLAND, LLC
Other - Org Name:KRISLAN ULTRASONIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-769-3134
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-0103
Mailing Address - Country:US
Mailing Address - Phone:603-769-3134
Mailing Address - Fax:
Practice Address - Street 1:12 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2950
Practice Address - Country:US
Practice Address - Phone:603-769-3134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty