Provider Demographics
NPI:1831413210
Name:ULTRASOUND SERVICES OF GEORGIA LLC
Entity type:Organization
Organization Name:ULTRASOUND SERVICES OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHMIKANT
Authorized Official - Middle Name:KANUBHAI
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RCS, RVS
Authorized Official - Phone:770-631-8034
Mailing Address - Street 1:533 MERRILL LANE
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-5612
Mailing Address - Country:US
Mailing Address - Phone:770-631-8034
Mailing Address - Fax:770-631-8034
Practice Address - Street 1:533 MERRILL LANE
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-5612
Practice Address - Country:US
Practice Address - Phone:770-631-8034
Practice Address - Fax:770-631-8034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty