Provider Demographics
NPI:1356541825
Name:ULTRA SOUND SOLUTIONS LLC
Entity type:Organization
Organization Name:ULTRA SOUND SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PENNETTI
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:609-268-0699
Mailing Address - Street 1:495 OAKSHADE RD
Mailing Address - Street 2:
Mailing Address - City:SHAMONG
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-9520
Mailing Address - Country:US
Mailing Address - Phone:609-268-0699
Mailing Address - Fax:609-268-0799
Practice Address - Street 1:495 OAKSHADE RD
Practice Address - Street 2:
Practice Address - City:SHAMONG
Practice Address - State:NJ
Practice Address - Zip Code:08088-9520
Practice Address - Country:US
Practice Address - Phone:609-268-0699
Practice Address - Fax:609-268-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41174291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ117471Medicare PIN