Organization
QUALITY MOBILE ULTRASOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER EVANS RDCS, RVT (SONOGRAPHER)
(225) 235-1710
Entity
Organization
Contact information
Practice address
275 CLINTON DR, STONEWALL, LA 71078-5405
(225) 235-1710
(888) 880-6308
Mailing address
275 CLINTON DR, STONEWALL, LA 71078-5405
(225) 235-1710
(888) 880-6308
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
119468
LA
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
119468
LA
Other
Enumeration date
05/14/2010
Last updated
06/04/2010
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