MEDICARE: US MOBILE ULTRASOUND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247100000X	Radiologic Technologist	21321	MD

General Provider Information

NPI Number	:	1396820916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US MOBILE ULTRASOUND

Provider Business Mailing Address
First Line	:	2219 CARTER MILL WAY
Second Line	:
City	:	BROOKEVILLE
State	:	MD
Zip	:	20833-3208
Country	:	US
Telephone Number	:	240-388-0346
Fax Number	:

Provider Business Practice Location Address
First Line	:	2219 CARTER MILL WAY
Second Line	:
City	:	BROOKEVILLE
State	:	MD
Zip	:	20833-3208
Country	:	US
Telephone Number	:	240-388-0346
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. WENDY J SHOTER
Credential	:
Telephone Number	:	240-388-0346

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/22/2020

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Directions to “US MOBILE ULTRASOUND ” Practice Location

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