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Organization
ULTRASOUND INSTITUTE MEDICAL GROUP
Active
Organization
ULTRASOUND INSTITUTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARX (ADMINISTRATOR)
(909) 483-5550
Entity
Organization
Contact information
Practice address
3700 INLAND EMPIRE BLVD, SUITE 250, ONTARIO, CA 91764-4906
(909) 483-5550
(909) 483-5509
Mailing address
3700 INLAND EMPIRE BLVD, SUITE 250, ONTARIO, CA 91764-4906
(909) 483-5550
(909) 483-5509
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
247100000X
Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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