Organization
ON-SITE ULTRASOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLENA DZIUBA BBA (CFO)
(505) 573-2495
Entity
Organization
Contact information
Practice address
1804 JUNE ST NE, ALBUQUERQUE, NM 87112-3146
(505) 843-9836
(866) 688-1632
Mailing address
1804 JUNE ST NE, ALBUQUERQUE, NM 87112-3146
(505) 843-9836
(866) 688-1632
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
02/22/2011
Last updated
03/30/2011
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