Provider Demographics
NPI:1013734193
Name:GENESIS ULTRASOUND, LLC
Entity type:Organization
Organization Name:GENESIS ULTRASOUND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSING
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:973-951-9669
Mailing Address - Street 1:13 BRIAR HILL DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3209
Mailing Address - Country:US
Mailing Address - Phone:973-951-9669
Mailing Address - Fax:
Practice Address - Street 1:13 BRIAR HILL DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3209
Practice Address - Country:US
Practice Address - Phone:973-951-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty