Provider Demographics
NPI:1730290164
Name:BEYOND ULTRASOUND, LLC
Entity Type:Organization
Organization Name:BEYOND ULTRASOUND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICAURTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-377-1531
Mailing Address - Street 1:104 W 4TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3842
Mailing Address - Country:US
Mailing Address - Phone:313-377-1531
Mailing Address - Fax:206-202-2691
Practice Address - Street 1:104 W 4TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3842
Practice Address - Country:US
Practice Address - Phone:313-377-1531
Practice Address - Fax:206-202-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile