Provider Demographics
NPI:1841084613
Name:AMERICAN RIVER ULTRASOUND AND DIAGNOSTICS
Entity type:Organization
Organization Name:AMERICAN RIVER ULTRASOUND AND DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECH/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVI
Authorized Official - Middle Name:
Authorized Official - Last Name:CIRIACO
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS
Authorized Official - Phone:916-846-3254
Mailing Address - Street 1:3589 RAINSONG CIR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6983
Mailing Address - Country:US
Mailing Address - Phone:916-846-3254
Mailing Address - Fax:
Practice Address - Street 1:3589 RAINSONG CIR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6983
Practice Address - Country:US
Practice Address - Phone:916-846-3254
Practice Address - Fax:916-846-3254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile