Ultra S Imaging Lc

NPI 1578507810 - Radiologic Technologist - 2471S1302X

NPI Details
NPI 1578507810
Enumeration Date 06/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY LEE JERRY
Position OWNER
Phone (989) 345-0527
Fax
Practice Location
231 RUBY CT
#4
WEST BRANCH MI, 48661-1165, US
Phone (989) 345-0527
Fax
Business Location
231 RUBY CT
#4
WEST BRANCH MI, 48661-1165, US
Phone (989) 345-0527
Fax
Toxanomy
Taxonomy Code 2471S1302X
License State
License Number
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According to our database, Ultra S Imaging Lc NPI is 1578507810, taxonomy code is 2471S1302X Ultra S Imaging Lc physically located at 231 Ruby Ct, West Branch MI, 48661-1165. NPI Number 1033115704 has the healthcare provider type.

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1578507810 NPI number is provided on an as is basis without warranty of any kind. 1578507810 is maintained by the National Plan & Provider Enumeration System. The contents of Ultra S Imaging Lc are for informational purposes only.