Organization
NORTH CAROLINA MOBILE ULTRASOUND
Active
Other names
NCMU
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DARRYL SMITH SR. (OWNER)
(800) 983-9840
Entity
Organization
Contact information
Practice address
2554 LEWISVILLE-CLEMMONS ROAD, SUITE 201, BOX 11, CLEMMONS, NC 27012-8110
(800) 983-9840
(336) 245-2017
Mailing address
2554 LEWISVILLE-CLEMMONS ROAD, SUITE 201, BOX 11, CLEMMONS, NC 27012-8110
(800) 983-9840
(336) 245-2017
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NC
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8105017
—
NC
Enumeration date
03/14/2007
Last updated
10/06/2009
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