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Organization
ULTRASONIC MEDICAL SPECIALISTS LLC
Active
Organization
ULTRASONIC MEDICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE M MILES RDMS, RVT, RDCS (OWNER)
(219) 617-8218
Entity
Organization
Contact information
Practice address
365 CONESTOGA DR, CHESTERTON, IN 46304-1559
(219) 617-8218
(502) 775-8345
Mailing address
365 CONESTOGA DR, CHESTERTON, IN 46304-1559
(219) 617-8218
(502) 775-8345
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
251E00000X
Home Health Agency
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/13/2020
Last updated
11/03/2022
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