# PROSCAN MOBILE ULTRASOUND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689447302
- **Authorized official:** MR. BRANDON MICHAEL BERTRAND RDMS(OB/GYN) (CEO/ ULTRASOUND TECHNOLOGIST)
- **Authorized official phone:** (315) 614-2858

## Contact information

- **Practice address:** 858 COUNTY ROUTE 38, NORFOLK, NY 13667-3205
- **Practice address phone:** (315) 267-6159
- **Practice address fax:** (315) 262-8117
- **Mailing address:** 858 COUNTY ROUTE 38, NORFOLK, NY 13667-3205
- **Mailing address phone:** (315) 267-6159
- **Mailing address fax:** (315) 262-8117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2023
- **Last updated:** 11/03/2023