Organization
ULTRASOUND IMAGING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE TAUTIVA R.D.M.S. (PRESIDENT)
(781) 834-3888
Entity
Organization
Contact information
Practice address
60 PARK ST, HYANNIS, MA 02601-5224
(508) 771-7100
Mailing address
414 PLAIN ST, MARSHFIELD, MA 02050-2719
(781) 834-3888
(781) 834-3888
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
37159
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039469
BLUE CROSS BLUE SHIELD
MA
01
—
3755396
AETNA
MA
01
—
80314
UNICARE
MA
01
—
AA24533
HARVARD PILGRIM HEALTH
MA
Enumeration date
02/27/2007
Last updated
08/22/2020
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