Provider Demographics
NPI:1306675780
Name:ULTRAPRECISE TELERADIOLOGY SERVICES
Entity type:Organization
Organization Name:ULTRAPRECISE TELERADIOLOGY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ESOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-498-9436
Mailing Address - Street 1:205 APPLEGATE ROAD
Mailing Address - Street 2:SUITE 100 #1123
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360
Mailing Address - Country:US
Mailing Address - Phone:646-498-9436
Mailing Address - Fax:
Practice Address - Street 1:205 APPLEGATE ROAD
Practice Address - Street 2:SUITE 100 #1123
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360
Practice Address - Country:US
Practice Address - Phone:646-498-9436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty