Provider Demographics
NPI:1710961560
Name:ULTRASOUND SERVICE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ULTRASOUND SERVICE ASSOCIATES, INC.
Other - Org Name:USA MEDICAL DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-896-0202
Mailing Address - Street 1:2454 E MICHIGAN STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5059
Mailing Address - Country:US
Mailing Address - Phone:866-896-0202
Mailing Address - Fax:407-567-7897
Practice Address - Street 1:2454 E MICHIGAN STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5059
Practice Address - Country:US
Practice Address - Phone:407-896-6047
Practice Address - Fax:407-567-7897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
E1918Medicare ID - Type Unspecified