Provider Demographics
NPI:1649694027
Name:UMS LITHOTRIPSY SERVICES OF KENT COUNTY, LLC
Entity type:Organization
Organization Name:UMS LITHOTRIPSY SERVICES OF KENT COUNTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TALEBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-955-4923
Mailing Address - Street 1:1700 W PARK DR
Mailing Address - Street 2:STE 410
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3939
Mailing Address - Country:US
Mailing Address - Phone:703-955-4923
Mailing Address - Fax:571-313-0262
Practice Address - Street 1:200 BANNING ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3485
Practice Address - Country:US
Practice Address - Phone:703-955-4923
Practice Address - Fax:571-313-0262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED MEDICAL SYSTEMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QL0400XAmbulatory Health Care FacilitiesClinic/CenterLithotripsy