Active NPI
Physicians for Ultrasound
- Physiological Laboratory
- Woodbridge, VA
National Provider Identifier
1952844896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- PHYSICIANS FOR ULTRASOUND
- Practice address
- 14904 Jefferson Davis Hwy
206
Woodbridge, VA 22191-3908 - Phone
- (157) 149-0515
- NPI assigned
- Nov 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. McCoy Hayes Jr., RCS
- Title
- Executive Officer
- Phone
- (571) 469-0515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
14904 Jefferson Davis Hwy
206
Woodbridge, VA 22191-3908
Mailing address
14904 Jefferson Davis Hwy
206
Woodbridge, VA 22191-3908
Phone (157) 149-0515
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480118400000",
"number": "1952844896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY",
"address_2": "206",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "157-149-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY",
"address_2": "206",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "157-149-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS FOR ULTRASOUND",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-26",
"last_updated": "2016-11-26",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "MCCOY",
"authorized_official_title_or_position": "EXECUTIVE OFFICER",
"authorized_official_telephone_number": "571-469-0515",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RCS"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.