Organization
PORTABLE DIAGNOSTIC ULTRASOUND IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEONORA RABKIN RCS (PRESIDENT)
(248) 872-6262
Entity
Organization
Contact information
Practice address
21751 W 11 MILE RD, SUITE 110, SOUTHFIELD, MI 48076-3712
(248) 872-6262
(248) 671-5363
Mailing address
5584 PEMBURY, WEST BLOOMFIELD, MI 48322-4011
(248) 872-6262
(248) 671-5363
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
0000010812
MI
Other
Enumeration date
05/18/2006
Last updated
03/17/2018
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