Provider Demographics
NPI:1013295963
Name:CREATIVE ULTRASOUND IMAGING INC.
Entity Type:Organization
Organization Name:CREATIVE ULTRASOUND IMAGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILOMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUESDIEKER
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:831-272-3576
Mailing Address - Street 1:47 SAN MIGUEL AVE
Mailing Address - Street 2:STE. 4
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3058
Mailing Address - Country:US
Mailing Address - Phone:831-272-3576
Mailing Address - Fax:831-272-3576
Practice Address - Street 1:47 SAN MIGUEL AVE
Practice Address - Street 2:STE. 4
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3058
Practice Address - Country:US
Practice Address - Phone:831-272-3576
Practice Address - Fax:831-272-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty