Healthcare Provider Details

I. General information

NPI: 1578810362
Provider Name (Legal Business Name): CONVINIENT ULTRASOUND SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2393 S CONGRESS AVE
WEST PALM BEACH FL
33406-7628
US

IV. Provider business mailing address

2393 S CONGRESS AVE
WEST PALM BEACH FL
33406-7628
US

V. Phone/Fax

Practice location:
  • Phone: 561-502-1236
  • Fax: 954-432-5060
Mailing address:
  • Phone: 561-502-1236
  • Fax: 954-432-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: FABIO L RAMOS
Title or Position: PRESIDENT
Credential:
Phone: 561-502-1236