Provider Demographics
NPI:1811027246
Name:MEDICAL ULTRASOUND SERVICES, LLC
Entity Type:Organization
Organization Name:MEDICAL ULTRASOUND SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:BURMER
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:559-283-0146
Mailing Address - Street 1:2050 RUSSETT WAY
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-2112
Mailing Address - Country:US
Mailing Address - Phone:559-283-0146
Mailing Address - Fax:559-661-4801
Practice Address - Street 1:21890 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:SAN JOAQUIN
Practice Address - State:CA
Practice Address - Zip Code:93660
Practice Address - Country:US
Practice Address - Phone:559-283-0146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty