Healthcare Provider Details

I. General information

NPI: 1467597336
Provider Name (Legal Business Name): PRIORITY ULTRASOUND SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 BELL RD 209
HERMITAGE TN
37076-2944
US

IV. Provider business mailing address

3960 BELL RD 209
HERMITAGE TN
37076-2944
US

V. Phone/Fax

Practice location:
  • Phone: 615-772-4157
  • Fax:
Mailing address:
  • Phone: 615-772-4157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN MCMULLEN
Title or Position: PRESIDENT
Credential:
Phone: 615-772-4157