Premiere Ultrasound, Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PREMIERE ULTRASOUND, INC

Practice address

8620 Wicker Ave
Saint John, IN 46373-9649

Phone

(219) 365-4393

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Resney

Title

President

Phone

(219) 365-4393

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1477640639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 WICKER AVE",
            "address_2": "STE. A",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739649",
            "telephone_number": "219-365-4393",
            "fax_number": "866-382-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739649",
            "telephone_number": "219-365-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE ULTRASOUND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "RESNEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-365-4393"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Saint John, IN
• Providers in Saint John, IN by specialty
• Radiology Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.