Provider Demographics
NPI:1770826307
Name:MOBILE ULTRASOUND LLC
Entity Type:Organization
Organization Name:MOBILE ULTRASOUND LLC
Other - Org Name:MOBILE ULTRASOUND OF FLINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BRANCH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TREMONTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-249-3837
Mailing Address - Street 1:3319 N ELSTON AVE
Mailing Address - Street 2:SUITE 252
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5811
Mailing Address - Country:US
Mailing Address - Phone:248-508-2866
Mailing Address - Fax:248-856-2577
Practice Address - Street 1:2335 S LINDEN RD
Practice Address - Street 2:SUITE B1
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5497
Practice Address - Country:US
Practice Address - Phone:810-249-3837
Practice Address - Fax:810-275-1263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Multi-Specialty