Real Time II LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

REAL TIME II LLC

Practice address

1700 E Bogard Rd # 101
Wasilla, AK 99654-6563

Phone

(907) 357-2158

Fax

(907) 357-5849

NPI assigned

Nov 7, 2007

Last updated

Dec 4, 2007By 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

Gretchen Lee Blume, RDMS, RDCS

Title

Owner, Sonographer

Phone

(907) 357-2158

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1225218209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD # 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-357-2158",
            "fax_number": "907-357-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD # 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-357-2158",
            "fax_number": "907-357-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TIME II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER, SONOGRAPHER",
        "authorized_official_telephone_number": "907-357-2158",
        "authorized_official_credential": "RDMS, RDCS"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Ultrasound Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Diagnostic Ultrasound Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.