Organization
AERO ON-SITE IMAGING, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI LYNN POTTER ARDMS (CEO/SONOGRAPHER)
(269) 838-5865
Entity
Organization
Contact information
Practice address
7769 WOODLAND RD, LAKE ODESSA, MI 48849-9323
(269) 838-5865
Mailing address
7769 WOODLAND RD, LAKE ODESSA, MI 48849-9323
(269) 838-5865
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
132394
MI
2471V0105X
Vascular Sonography Radiologic Technologist
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Other
Enumeration date
06/06/2012
Last updated
03/15/2013
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