Provider Demographics
NPI:1063807626
Name:CLEARVIEW ULTRASOUND INC.
Entity type:Organization
Organization Name:CLEARVIEW ULTRASOUND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BSRT RT(R) RDMS RVT
Authorized Official - Phone:208-724-3318
Mailing Address - Street 1:16670 USTICK RD
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83607-9611
Mailing Address - Country:US
Mailing Address - Phone:208-724-3318
Mailing Address - Fax:208-453-2131
Practice Address - Street 1:16670 USTICK RD
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83607-9611
Practice Address - Country:US
Practice Address - Phone:208-724-3318
Practice Address - Fax:208-453-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID109245293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty