Provider Demographics
NPI:1154809390
Name:PINPOINT DIAGNOSTIC SOUNDWAVES IMAGING, LLC
Entity type:Organization
Organization Name:PINPOINT DIAGNOSTIC SOUNDWAVES IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS, RVT
Authorized Official - Phone:192-027-7158
Mailing Address - Street 1:725 HEARTLAND TRL STE 205
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1966
Mailing Address - Country:US
Mailing Address - Phone:608-841-1009
Mailing Address - Fax:608-807-5159
Practice Address - Street 1:725 HEARTLAND TRL STE 205
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1966
Practice Address - Country:US
Practice Address - Phone:608-841-1009
Practice Address - Fax:608-807-5159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1470872085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty