MEDICARE: PERFECTION ULTRASOUND

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	251K00000X	Public Health or Welfare Agency
3	261QF0050X	Non-Surgical Family Planning Clinic/Center
4	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	604819518	OTHER	WA	REGISTERED SONOGRAPHER ARDMS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417600271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECTION ULTRASOUND

Provider Business Mailing Address
First Line	:	5801 W 19TH AVE
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99338-2187
Country	:	US
Telephone Number	:	509-591-8528
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 W KENNEWICK AVE STE 8
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-3830
Country	:	US
Telephone Number	:	509-591-8528
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED SONOGRAPHER
Name	:	ANNA SPENCER
Credential	:	ARDMS
Telephone Number	:	509-591-8528

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	02/02/2022

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Directions to “PERFECTION ULTRASOUND ” Practice Location

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