Organization
PORTABLE ULTRASOUND OF UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL TOOMEY (MEMBER)
(702) 645-2606
Entity
Organization
Contact information
Practice address
2212 S WEST TEMPLE, STE 18, SALT LAKE CITY, UT 84115-2642
(801) 359-2532
(801) 485-4174
Mailing address
5538 DUNCAN DR, LAS VEGAS, NV 89130-2812
(702) 645-2606
(702) 645-2874
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00119284
RAIL ROAD MEDICARE
UT
Enumeration date
01/04/2006
Last updated
04/20/2008
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