Provider Demographics
NPI:1568043602
Name:GENERAL ULTRASOUND HEALTH LLC
Entity type:Organization
Organization Name:GENERAL ULTRASOUND HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:MAURICIO
Authorized Official - Last Name:PEROZO
Authorized Official - Suffix:
Authorized Official - Credentials:SONOGRAPHER
Authorized Official - Phone:949-609-9309
Mailing Address - Street 1:25600 WESTHEIMER PKWY STE 430
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7293
Mailing Address - Country:US
Mailing Address - Phone:949-609-9309
Mailing Address - Fax:281-819-6616
Practice Address - Street 1:25600 WESTHEIMER PKWY STE 430
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7293
Practice Address - Country:US
Practice Address - Phone:949-609-9309
Practice Address - Fax:281-819-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty