MEDICARE: ADVANCED ULTRASOUND IMAGING PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	293D00000X	Physiological Laboratory
2	2085U0001X	Diagnostic Ultrasound Physician
3	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1083597363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ULTRASOUND IMAGING PLLC

Provider Business Mailing Address
First Line	:	14248 BELLAIRE BLVD STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-7536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14248 BELLAIRE BLVD STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-7536
Country	:	US
Telephone Number	:	346-739-4839
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HANNAH NGUYEN
Credential	:
Telephone Number	:	346-739-4839

Provider Enumeration Date	:	07/26/2025
Last Update Date	:	10/12/2025

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