Advanced Ultrasound Imaging

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

ADVANCED ULTRASOUND IMAGING

Practice address

6811 Indian Run CT
Annandale, VA 22003-5937

Phone

(703) 477-0167

NPI assigned

Dec 7, 2010

Last updated

Dec 7, 2010By 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

Mrs. Azeb Kassa, RDCS

Title

Owmer

Phone

(703) 477-0167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1568765907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 INDIAN RUN CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035937",
            "telephone_number": "703-477-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 INDIAN RUN CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035937",
            "telephone_number": "703-477-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ULTRASOUND IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "KASSA",
        "authorized_official_first_name": "AZEB",
        "authorized_official_title_or_position": "OWMER",
        "authorized_official_telephone_number": "703-477-0167",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.