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Organization
PREMIERE ULTRASOUND, INC
Active
Organization
PREMIERE ULTRASOUND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RESNEY (PRESIDENT)
(219) 365-4393
Entity
Organization
Contact information
Practice address
8620 WICKER AVE, SAINT JOHN, IN 46373-9649
(219) 365-4393
Mailing address
8620 WICKER AVE, STE. A, SAINT JOHN, IN 46373-9649
(219) 365-4393
(866) 382-2213
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
10/02/2007
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