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NPI Code Detail

MEDICARE: CARDIAC ULTRASOUND INC

MEDICARE: CARDIAC ULTRASOUND INC
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
1261QR0208XMobile Radiology Clinic/Center

General Provider Information

NPI Number : 1518985431
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIAC ULTRASOUND INC
Provider Business Mailing Address
First Line : 6145 SHOUP AVE UNIT 45
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3333
Country : US
Telephone Number : 818-203-1013
Fax Number : 818-594-0878
Provider Business Practice Location Address
First Line : 6145 SHOUP AVE UNIT 45
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3333
Country : US
Telephone Number : 818-203-1013
Fax Number : 818-594-0878
Authorized Official
Title or Position : DIRECTOR
Name : DR. PETER P. KLIMO
Credential : RDMS, RDCS, RVT
Telephone Number : 818-203-1013
Provider Enumeration Date : 07/18/2006
Last Update Date : 05/03/2010

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Directions to “CARDIAC ULTRASOUND INC ” Practice Location

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