NPIMap

Organization Active NPI

Ultrasound Institute Medical Group

  • Radiology Clinic/Center
  • Ontario, CA
National Provider Identifier
1346658556
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ULTRASOUND INSTITUTE MEDICAL GROUP
Practice address
3700 Inland Empire Blvd
Suite 250
Ontario, CA 91764-4906
Phone
(909) 483-5550
Fax
(909) 483-5509
NPI assigned
Jul 31, 2014
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Jessica Marx
Title
Administrator
Phone
(909) 483-5550

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Vascular Specialist/Technologist Cardiovascular 246XC2903X
Sonography Specialist/Technologist Cardiovascular 246XS1301X
Radiologic Technologist 247100000X
Sonography Radiologic Technologist 2471S1302X
Vascular Sonography Radiologic Technologist 2471V0105X

Addresses

Primary practice location

3700 Inland Empire Blvd
Suite 250
Ontario, CA 91764-4906

Mailing address

3700 Inland Empire Blvd
Suite 250
Ontario, CA 91764-4906
Phone (909) 483-5550

National Provider Directory

National Provider Directory
Tax ID family
Ultrasound Institute Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3700 Inland Empire Blvd
Ste 250
Ontario, CA 91764
Phone (909) 483-1001

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1346658556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 INLAND EMPIRE BLVD",
            "address_2": "SUITE 250",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644906",
            "telephone_number": "909-483-5550",
            "fax_number": "909-483-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 INLAND EMPIRE BLVD",
            "address_2": "SUITE 250",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644906",
            "telephone_number": "909-483-5550",
            "fax_number": "909-483-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASOUND INSTITUTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-483-5550"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.