Organization · NPI-2
Advanced Imaging Mobile Ultrasound Services
Physiological Laboratory · Adrian, PA
NPI number1669877320
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1669877320
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Imaging Mobile Ultrasound Services
- Organization subpart
- No
- Enumeration date
- Oct 23, 2014
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
| 246XC2903X | Spec/Tech, Cardiovascular, Vascular Specialist | – | – | |
| 246XS1301X | Spec/Tech, Cardiovascular, Sonography | – | – | |
| 335V00000X | Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | – | – |
Practice location
1148 Reesedale RdAdrian, PA 16210-2216
Phone 724-919-8045 · Fax 724-919-8052
Mailing address
1148 Reesedale RdAdrian, PA 16210-2216
Phone 724-919-8045 · Fax 724-919-8052
Authorized official
Lori Murphy
Owner
7249198045
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