Provider Demographics
NPI:1962804187
Name:MOBILE ULTRASOUND IMAGING SERVICES, INC
Entity type:Organization
Organization Name:MOBILE ULTRASOUND IMAGING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECH
Authorized Official - Prefix:MR
Authorized Official - First Name:NIGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SURFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-390-7070
Mailing Address - Street 1:16041 MARJAN LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3423
Mailing Address - Country:US
Mailing Address - Phone:714-390-7070
Mailing Address - Fax:
Practice Address - Street 1:16041 MARJAN LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3423
Practice Address - Country:US
Practice Address - Phone:714-390-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty