Provider Demographics
NPI:1184092777
Name:QUALITY MOBILE ULTRASOUND
Entity type:Organization
Organization Name:QUALITY MOBILE ULTRASOUND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:561-779-3090
Mailing Address - Street 1:11328 OKEECHOBEE BLVD
Mailing Address - Street 2:#9
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8733
Mailing Address - Country:US
Mailing Address - Phone:561-855-8923
Mailing Address - Fax:561-855-8965
Practice Address - Street 1:11328 OKEECHOBEE BLVD
Practice Address - Street 2:#9
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8733
Practice Address - Country:US
Practice Address - Phone:561-855-8923
Practice Address - Fax:561-855-8965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-13
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty