Organization
INDIANA ULTRASOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE SMITH RDMS (OWNER/CEO)
(219) 746-6662
Entity
Organization
Contact information
Practice address
2055 W 64TH PL, MERRILLVILLE, IN 46410-3114
(219) 746-6662
Mailing address
2055 W 64TH PL, MERRILLVILLE, IN 46410-3114
(219) 746-6662
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
IN
Other
Enumeration date
05/08/2012
Last updated
08/10/2021
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