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NPI Code Detail

MEDICARE: MOBILE ULTRASOUND SPECIALISTS, INC

MEDICARE: MOBILE ULTRASOUND SPECIALISTS, 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 : 1831465772
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE ULTRASOUND SPECIALISTS, INC
Provider Business Mailing Address
First Line : 784 FOXHOUND DR
Second Line :
City : PORT ORANGE
State : FL
Zip : 32128-7003
Country : US
Telephone Number : 386-788-6693
Fax Number :
Provider Business Practice Location Address
First Line : 784 FOXHOUND DR
Second Line :
City : PORT ORANGE
State : FL
Zip : 32128-7003
Country : US
Telephone Number : 386-788-6693
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JAMES CHRISTY MCGREGOR
Credential :
Telephone Number : 386-788-6693
Provider Enumeration Date : 03/26/2012
Last Update Date : 03/26/2012

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Directions to “MOBILE ULTRASOUND SPECIALISTS, INC ” Practice Location

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