QUALITY MOBILE ULTRASOUND LLC (NPI# 1831417823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831417823 |
Entity Type | Organization |
Organization Name | QUALITY MOBILE ULTRASOUND LLC |
Practice Address |
275 Clinton Dr Stonewall LA 71078-5405 |
Practice Telephone | 2252351710 |
Practice Fax Number | 8888806308 |
Mailing Telephone | 2252351710 |
Mailing Fax Number | 8888806308 |
Enumeration Date | 2010-05-14 |
Last Update Date | 2010-06-04 |
Authorized Official Name | JENNIFER EVANS (SONOGRAPHER) |
Authorized Official Telephone | 2252351710 |
Authorized Official Credential | RDCS, RVT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
119468 | LA | Technologists, Technicians & Other Technical Service Providers |
Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
119468 | LA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
275 CLINTON DR |
City | STONEWALL |
State | LA |
Zip Code | 71078-5405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366767071 | Jennifer Evans | Spec/Tech, Cardiovascular | 275 Clinton Dr, Stonewall, LA 71078-5405 | 2010-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982033858 | Stonewall Family Pharmacy | Pharmacy | 160 Stonecreek Dr, Suite C, Stonewall, LA 71078 | 2013-11-01 |
1508029570 | Emily Carol Ryan Cristler | Physical Therapist | 2070 Highway 171 Ste C, Stonewall, LA 71078 | 2008-07-09 |
1144422650 | Panakeia Health Services, L.L.C. | Psychiatric Hospital | 960 Hwy. 171 South, Stonewall, LA 71078 | 2007-06-05 |
1851849293 | Lejasmine Hall | Counselor | 671 Hwy 171 Suite C, Stonewall, LA 71078 | 2016-09-14 |
1649810870 | Robin Carroll | Counselor | 283 Sandpiper Ln, Stonewall, LA 71078-2805 | 2020-01-15 |
1720434137 | D N L Outpatient Rehab, LLC | Community/Behavioral Health | 671 Hwy 171 Suite C, Stonewall, LA 71078-3312 | 2016-05-04 |
1053705814 | Ltc Specialty | Pharmacy | 2068 Highway 171, Suite 5, Stonewall, LA 71078-3905 | 2015-03-19 |
1093177263 | Lucy Smith | Counselor | 327 Lesa Ln, Stonewall, LA 71078-4405 | 2016-03-25 |
1952634818 | Holly Renee' Russo | Registered Nurse | 158 Tanner St, Stonewall, LA 71078-4455 | 2009-09-10 |
1184240293 | Carrie Jo Moton | Nurse Practitioner | 149 Stone Creek Rd, Stonewall, LA 71078-4906 | 2020-06-24 |
Find all providers in zip 71078 |
Taxonomy Code | 2471V0105X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Vascular Sonography |
Definition to come. |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.