Bobodzhanov Inc

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

Legal business name

BOBODZHANOV INC

Doing business as

Ultraecho

Practice address

440 W Broderick Dr
Meridian, ID 83646-6427

Phone

(206) 786-6936

Fax

(206) 621-4176

NPI assigned

Nov 20, 2006

Last updated

Mar 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alexi Bobodzhanov, RDMS, RDCS

Title

President Ceo

Phone

(206) 621-4722

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• Ultraecho Doing business as

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1013081058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BRODERICK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466427",
            "telephone_number": "206-786-6936",
            "fax_number": "206-621-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BRODERICK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466427",
            "telephone_number": "206-786-6936",
            "fax_number": "206-621-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBODZHANOV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "BOBODZHANOV",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "206-621-4722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS, RDCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "WA",
            "license": "N/A PORTABLE U/S",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0185002",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7130BO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "47001664",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115389",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOPERATIVE",
            "identifier": "568397002",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultraecho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bluebird Home Care, LLC (At Ease Home Care)
• Bluebird Home Health, LLC
• Bluebird Hospice, LLC (Bluebird Hospice)
• Blueprint Counseling
• Gwendolyn Blythe, P.T.
• Jeffrey Scott Bobst, DDS
• Jordan Bodily, DMD
• Caitlyn Boeck, FNP
• Abigail Boesiger
• Sarah Bofukya Bope

• Sonography Specialist/Technologist Cardiovascular in Meridian, ID
• Providers in Meridian, ID by specialty
• Sonography Specialist/Technologist Cardiovascular in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.