Provider Demographics
NPI:1982098067
Name:ULTRASOUNDS UNLIMITED
Entity Type:Organization
Organization Name:ULTRASOUNDS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEBAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-221-9531
Mailing Address - Street 1:PO BOX 29561
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70189-0561
Mailing Address - Country:US
Mailing Address - Phone:504-221-9531
Mailing Address - Fax:
Practice Address - Street 1:11650 WEST BARRINGTON DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128
Practice Address - Country:US
Practice Address - Phone:504-221-9531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA41808123K335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier