Provider Demographics
NPI:1942330063
Name:KRISLAN ULTRASONIX INC
Entity Type:Organization
Organization Name:KRISLAN ULTRASONIX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHAND
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS RVT
Authorized Official - Phone:603-225-7992
Mailing Address - Street 1:2 1/2 BEACON ST
Mailing Address - Street 2:SUITE 285
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4447
Mailing Address - Country:US
Mailing Address - Phone:603-225-7992
Mailing Address - Fax:603-225-0227
Practice Address - Street 1:TWO AND ONE HALF BEACON ST.
Practice Address - Street 2:SUITE 285
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4447
Practice Address - Country:US
Practice Address - Phone:603-225-7992
Practice Address - Fax:603-225-0227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7600717YONH 01OtherANTHEM BX
NH7600717YONH 01OtherANTHEM BX