Provider Demographics
NPI:1790490712
Name:S & S MOBILE ULTRASOUND CARE LLC
Entity Type:Organization
Organization Name:S & S MOBILE ULTRASOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOVASCULAR R SONOGRAPHER
Authorized Official - Prefix:
Authorized Official - First Name:SARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HABIBI
Authorized Official - Suffix:
Authorized Official - Credentials:RCS
Authorized Official - Phone:201-310-6226
Mailing Address - Street 1:60 OLD STONE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-1231
Mailing Address - Country:US
Mailing Address - Phone:201-310-6226
Mailing Address - Fax:
Practice Address - Street 1:60 OLD STONE CHURCH RD
Practice Address - Street 2:
Practice Address - City:UPPER SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-1231
Practice Address - Country:US
Practice Address - Phone:201-310-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty