Ultrasound Image Center LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

37657 Issued in PA

Legal business name

ULTRASOUND IMAGE CENTER LLC

Practice address

2351 E Allegheny Ave
Suite 1
Phila, PA 19134-4431

Phone

(215) 427-0324

Fax

(215) 427-0308

NPI assigned

Feb 8, 2011

Last updated

Mar 9, 2017By 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

Ms. Stephanie Mazzagatti

Title

Office Manager

Phone

(215) 427-0324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1841596897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 E ALLEGHENY AVE",
            "address_2": "SUITE 1",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344431",
            "telephone_number": "215-427-0324",
            "fax_number": "215-427-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E ALLEGHENY AVE",
            "address_2": "SUITE 1",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344431",
            "telephone_number": "215-427-0324",
            "fax_number": "215-427-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASOUND IMAGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MAZZAGATTI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-427-0324",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "PA",
            "license": "37657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025755480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Virginia Turner, M.D.
• Denise Tyler
• Irina Tyutyunnikova
• Marie Louise Uber-Ramalho, RDH
• William M Uffner, M.D.
• Donald Underwood, DO
• Universal Contact Lenses, Inc. (Howard J. Kessler OD)
• University Gastroenterology and Hepatology Associates PC
• University of Pennsylvania Medical Group
• Uphs Presbyterian Medical Ctr Dna

• Mobile Radiology Clinic/Center in Phila, PA
• Providers in Phila, PA by specialty
• Mobile Radiology Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.