Provider Demographics
NPI:1992795157
Name:ULTRASOUND IMAGES, INC.
Entity type:Organization
Organization Name:ULTRASOUND IMAGES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCINERNEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:ARDMS
Authorized Official - Phone:781-925-0200
Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-0424
Mailing Address - Country:US
Mailing Address - Phone:781-925-0200
Mailing Address - Fax:978-568-1180
Practice Address - Street 1:1 BROOKLINE PL
Practice Address - Street 2:SUITE 624
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7224
Practice Address - Country:US
Practice Address - Phone:781-925-0200
Practice Address - Fax:978-568-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA327119Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER