Organization
GILBERT ULTRASOUND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY B RITCHIE ARDMS (OWNER)
(304) 664-9946
Entity
Organization
Contact information
Practice address
202 LARRY JOE HARLESS DRIVE, SUITE 207, GILBERT, WV 25621
(304) 664-2500
Mailing address
18 ALEX LN, GILBERT, WV 25621-9756
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609116870
INDIVIDUAL NPI
—
Enumeration date
05/14/2013
Last updated
05/14/2013
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