Pinnacle Ultrasound Corp., LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PINNACLE ULTRASOUND CORP., LLC

Practice address

3250 W Market St
Suite 107
Fairlawn, OH 44333-3336

Phone

(330) 864-0600

Fax

(330) 864-3600

NPI assigned

Feb 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey Wilson

Title

President

Phone

(330) 864-3600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1003942244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W MARKET ST",
            "address_2": "SUITE 107",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333336",
            "telephone_number": "330-864-0600",
            "fax_number": "330-864-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W MARKET ST",
            "address_2": "SUITE 107",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333336",
            "telephone_number": "330-864-0600",
            "fax_number": "330-864-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ULTRASOUND CORP., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-864-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.