Organization
ULTRA S IMAGING LC
Active
Other names
U/S Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE SMITH RDMS, RTR (OWNER)
(989) 345-0527
Entity
Organization
Contact information
Practice address
231 RUBY CT, #4, WEST BRANCH, MI 48661-1165
(989) 345-0527
Mailing address
231 RUBY CT, #4, WEST BRANCH, MI 48661-1165
(989) 345-0527
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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