Millennium Ultrasound LLC

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

00039743 Issued in IN

Legal business name

MILLENNIUM ULTRASOUND LLC

Practice address

1149 Polk St
Gary, IN 46407-1120

Phone

(219) 487-5736

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Chester Starks Jr., RCIS,RCSNPI 1790086460

Title

Owner

Phone

(219) 895-9695

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chester Starks Jr., RCIS,RCS

  • Sonography Specialist/Technologist Cardiovascular
  • Gary, IN
  • NPI 1790086460
  NPD Authorized official

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1093261992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 POLK ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464071120",
            "telephone_number": "219-487-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 POLK ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464071120",
            "telephone_number": "219-487-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-895-9695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RCIS,RCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "IN",
            "license": "00039743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Specialist/Technologist Cardiovascular in Gary, IN
• Providers in Gary, IN by specialty
• Sonography Specialist/Technologist Cardiovascular in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.