Organization
MILLENNIUM ULTRASOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHESTER STARKS JR. RCIS,RCS (OWNER)
(219) 895-9695
Entity
Organization
Contact information
Practice address
1149 POLK ST, GARY, IN 46407-1120
(219) 487-5736
Mailing address
1149 POLK ST, GARY, IN 46407-1120
(219) 487-5736
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
00039743
IN
Other
Enumeration date
08/30/2016
Last updated
01/16/2017
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