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Ultrasound Diagnostic Services, Inc
Physiological Laboratory in Peoria, Arizona
NPI 1710982384

Ultrasound Diagnostic Services, Inc is a Physiological Laboratory based in Peoria, AZ. Ultrasound Diagnostic Services, Inc practices in Peoria, AZ. The NPI Number for Ultrasound Diagnostic Services, Inc is 1710982384 and holds a License No. OTC 3451 (Arizona).

The current practice location address for Ultrasound Diagnostic Services, Inc is 7998 W. Thunderbird Rd., Peoria, AZ and can be reached out via phone at 623-878-5650 and via fax at 623-878-5670.

Location: 7998 W. Thunderbird Rd., Peoria, AZ, 85381-4904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710982384
Provider Name
Ultrasound Diagnostic Services, Inc
Credential
Provider Entity Type
Organization
Address
7998 W. Thunderbird Rd., Peoria, AZ, 85381-4904
Phone Number
623-878-5650
Fax Number
623-878-5670
Provider Enumeration Date
06/20/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141911 05 AZ
AZ0048450 01 AZ BCBS OF AZ
OTC 3451 01 AZ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
7998 W. Thunderbird Rd.
City
Peoria
State
Arizona
Zip
85381-4904
Phone Number
623-878-5650
Fax Number
623-878-5670
person
Provider Business Mailing Address Details
Address
7998 W. Thunderbird Rd.
City
Peoria
State
Arizona
Zip
85381-4904
Phone Number
623-878-5650
Fax Number
623-878-5670
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile
Taxonomy
261QR0208X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
OTC 3451 (Arizona)
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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