Provider Demographics
NPI:1932764123
Name:WOMENS ULTRASOUND SERVICES, LLC
Entity type:Organization
Organization Name:WOMENS ULTRASOUND SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:NYBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-993-4370
Mailing Address - Street 1:1015 N MARCUS LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-2374
Mailing Address - Country:US
Mailing Address - Phone:150-999-3437
Mailing Address - Fax:
Practice Address - Street 1:5111 N SCOTTSDALE RD STE 150
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7075
Practice Address - Country:US
Practice Address - Phone:480-970-1937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty