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Organization
HD ULTRASOUND LLC
Active
Organization
HD ULTRASOUND LLC
Active
Other names
Health Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HUMMEL (CEO)
(510) 865-9670
Entity
Organization
Contact information
Practice address
625 LINCOLN AVE, SAN JOSE, CA 95126-3705
(510) 865-9670
Mailing address
44 MONTGOMERY ST, SUITE 1280, SAN FRANCISCO, CA 94104-4602
(510) 865-9670
(510) 865-9680
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ09153Z
BLUE SHIELD
CA
Enumeration date
07/19/2006
Last updated
05/09/2013
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