Provider Demographics
NPI:1740224062
Name:ULTRASOUND SERVICES, INC
Entity Type:Organization
Organization Name:ULTRASOUND SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MLKVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-860-2044
Mailing Address - Street 1:27 BLACKSMITH RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1870
Mailing Address - Country:US
Mailing Address - Phone:215-860-2044
Mailing Address - Fax:
Practice Address - Street 1:27 BLACKSMITH RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1870
Practice Address - Country:US
Practice Address - Phone:215-860-2044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
021395Medicare ID - Type UnspecifiedNJ99
021392Medicare ID - Type UnspecifiedPA01
031173Medicare ID - Type UnspecifiedNJ01
FDA004Medicare ID - Type UnspecifiedTRAILBLAZERS DE
028280Medicare ID - Type UnspecifiedPA99
470000506Medicare ID - Type UnspecifiedRR-PALMETTO