Provider Demographics
NPI:1922313972
Name:CLEAR FOCUS CV ULTRASOUND SERVICES
Entity Type:Organization
Organization Name:CLEAR FOCUS CV ULTRASOUND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/CHIEF TECHNOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:A
Authorized Official - Last Name:JEFFCOATS
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:580-504-2430
Mailing Address - Street 1:POST OFFICE BOX 1702
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-3830
Mailing Address - Country:US
Mailing Address - Phone:580-504-2430
Mailing Address - Fax:866-716-3820
Practice Address - Street 1:502 OAK
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-3830
Practice Address - Country:US
Practice Address - Phone:580-504-2430
Practice Address - Fax:866-716-3820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-15
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246XC2903X, 2471S1302X
MD32685246XS1301X
UT13089820-003-WTH261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Multi-Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty