Organization
ULTRASOUND PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE J ISRAEL MD (OWNER)
(703) 622-5321
Entity
Organization
Contact information
Practice address
10214 WOODVALE POND DR, FAIRFAX STATION, VA 22039-1657
(703) 622-5321
Mailing address
PO BOX 3897, WINCHESTER, VA 22604-8280
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
0101046305
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT18
CAREFIRST
MD
Enumeration date
08/14/2013
Last updated
01/20/2015
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