Organization
SPORTS ULTRASOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALBANO M.D. (OPERATOR)
(801) 424-5067
Entity
Organization
Contact information
Practice address
4888 HIGHLAND DR, SALT LAKE CITY, UT 84117-6007
(801) 424-5067
(801) 293-8618
Mailing address
2259 WELLINGTON ST, SALT LAKE CITY, UT 84106-4118
(801) 484-7254
(801) 293-8618
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
7523097-0160
UT
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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