Provider Demographics
NPI:1134385495
Name:INFRASONIC DIAGNOSTICS, INC.
Entity type:Organization
Organization Name:INFRASONIC DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHABUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-854-9242
Mailing Address - Street 1:3370 BUTLER WALK
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8209
Mailing Address - Country:US
Mailing Address - Phone:773-648-7799
Mailing Address - Fax:
Practice Address - Street 1:3370 BUTLER WALK
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8209
Practice Address - Country:US
Practice Address - Phone:773-648-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty