Organization
MIDWEST ULTRASOUND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W SCHWEBLER (COO)
(513) 936-0444
Entity
Organization
Contact information
Practice address
8250 KENWOOD CROSSING WAY, SUITE 225, CINCINNATI, OH 45236-3668
(513) 936-0444
Mailing address
8250 KENWOOD CROSSING WAY, SUITE 225, CINCINNATI, OH 45236-3668
(513) 936-0444
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
620346
OH
2471S1302X
Sonography Radiologic Technologist
620346
OH
2471V0105X
Vascular Sonography Radiologic Technologist
620346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009866
ANTHEM OHIO FACETS
OH
05
—
0770938
—
OH
01
—
1620106
UNITED HEALTHCARE
OH
05
—
200107420
—
IN
05
—
86032547
—
KY
Enumeration date
05/18/2006
Last updated
06/13/2011
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