Organization
INNOVATIVE ULTRASOUND IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KOESTER RMSK (PRESIDENT)
(949) 313-7736
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD STE 2302, SAN DIEGO, CA 92120-5241
(949) 313-7736
(949) 313-7737
Mailing address
PO BOX 80218, RANCHO SANTA MARGARITA, CA 92688-0218
(949) 313-7736
(949) 313-7737
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
01/29/2014
Last updated
03/17/2018
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