Provider Demographics
NPI:1285940726
Name:ADVANCED ULTRASOUND MOBILE IMAGING
Entity type:Organization
Organization Name:ADVANCED ULTRASOUND MOBILE IMAGING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / ULTRASONOGRAPHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS
Authorized Official - Phone:401-737-2229
Mailing Address - Street 1:765 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3213
Mailing Address - Country:US
Mailing Address - Phone:401-737-2229
Mailing Address - Fax:888-958-2393
Practice Address - Street 1:765 MAIN AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3213
Practice Address - Country:US
Practice Address - Phone:401-737-2229
Practice Address - Fax:888-958-2393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-22
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, MobileGroup - Single Specialty