Provider Demographics
NPI:1447436233
Name:CARDIO-MED ULTRASOUND, LLC
Entity type:Organization
Organization Name:CARDIO-MED ULTRASOUND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SONOGRAPHER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:ULTRASOUND CERTIFICA
Authorized Official - Phone:908-303-3911
Mailing Address - Street 1:191 NORTH AVE
Mailing Address - Street 2:SUITE 390
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1277
Mailing Address - Country:US
Mailing Address - Phone:908-303-1911
Mailing Address - Fax:732-968-4901
Practice Address - Street 1:191 NORTH AVE
Practice Address - Street 2:SUITE 390
Practice Address - City:DUNELLEN
Practice Address - State:NJ
Practice Address - Zip Code:08812-1277
Practice Address - Country:US
Practice Address - Phone:908-303-1911
Practice Address - Fax:732-968-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service