Innovative Ultrasound Imaging, Inc.

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

INNOVATIVE ULTRASOUND IMAGING, INC.

Practice address

6699 Alvarado Rd Ste 2302
San Diego, CA 92120-5241

Phone

(949) 313-7736

Fax

(949) 313-7737

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Mark Koester, RMSKNPI 1720593098

Title

President

Phone

(949) 313-7736

Specialties & licenses 4

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Koester, RMSK

  • Diagnostic Ultrasound Physician
  • San Diego, CA
  • NPI 1720593098

  Multi-Specialty

  NPD Authorized official
• Deborah Leach, CCC-SLP

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1568530624
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1811310766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80218",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926880218",
            "telephone_number": "949-313-7736",
            "fax_number": "949-313-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205241",
            "telephone_number": "949-313-7736",
            "fax_number": "949-313-7737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 San Sebastian",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882506",
            "country_code": "US",
            "telephone_number": "949-322-1666",
            "fax_number": "480-558-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 San Sebastian",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882506",
            "country_code": "US",
            "telephone_number": "949-322-1666",
            "fax_number": "480-558-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE ULTRASOUND IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KOESTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-313-7736",
        "authorized_official_credential": "RMSK"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Radiologic Technologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Sonography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.