Organization Active NPI

Blue Ridge Ultrasound, Inc.

  • Radiology Clinic/Center
  • Clyde, NC
National Provider Identifier
1417186602
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
101697 Issued in NC
Legal business name
BLUE RIDGE ULTRASOUND, INC.
Practice address
600 Hospital Dr
Suite 4
Clyde, NC 28721-8024
Phone
(828) 452-0881
Fax
(828) 452-0883
NPI assigned
Jul 8, 2009
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Mrs. Tammy Renee' Corzine, RDMS, RVT
Title
President
Phone
(828) 452-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 101697 NC Primary

Addresses

Primary practice location

600 Hospital Dr
Suite 4
Clyde, NC 28721-8024

Mailing address

600 Hospital Dr Ste 4
Clyde, NC 28721-8046
Phone (828) 452-0881

Other names 1

  • Regional Sonography Specialists, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1417186602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR STE 4",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218046",
            "telephone_number": "828-452-0881",
            "fax_number": "828-452-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "address_2": "SUITE 4",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218024",
            "telephone_number": "828-452-0881",
            "fax_number": "828-452-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE ULTRASOUND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "CORZINE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-452-0881",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS, RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NC",
            "license": "101697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Sonography Specialists, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.