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General NPI Number Information
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NPI Number | 1902173248
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Entity Type | Organization
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Legal Business Name | ULTRASOUND LABORATORIES INC
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 305 SOUTH DRIVE, 7
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4207
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Country | US
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Telephone | 408-829-6486
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Fax | 408-890-4770
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Provider Business Mailing Address
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Address Line | PO BOX 4864
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-0864
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Country | US
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Telephone | 408-829-6486
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Fax | 408-890-4770
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Authorized Official
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Title or Position | TECHNICAL DIRECTOR, PRESIDENT
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Name | JOSEPH DANIEL MATTHEWS
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Credential | RDMS, RVT, RDCS,RPHS
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Telephone | 408-829-6486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number | 71989
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number | 71989
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 71989
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number | 71989
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License Number State |
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Taxonomy #5
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 71989
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License Number State |
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