Provider Demographics
NPI:1295701381
Name:RELIABLE MOBILE ULTRASOUND SERVICES
Entity type:Organization
Organization Name:RELIABLE MOBILE ULTRASOUND SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-526-8238
Mailing Address - Street 1:136 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3208
Mailing Address - Country:US
Mailing Address - Phone:931-526-8238
Mailing Address - Fax:931-526-9079
Practice Address - Street 1:136 E SPRING ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3208
Practice Address - Country:US
Practice Address - Phone:931-526-8238
Practice Address - Fax:931-526-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology