UPSCALE ULTRASOUND & MOBILE 3D 4D LLC NPI 1942751110

NPI Information

NPI: 1942751110
Provider Name: UPSCALE ULTRASOUND & MOBILE 3D 4D, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
145 HILDEN RD
STE 113
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 465-9062
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UPSCALE ULTRASOUND & MOBILE 3D 4D, LLC is a radiology clinic center in Ponte Vedra, FL. UPSCALE ULTRASOUND & MOBILE 3D 4D, LLC NPI is 1942751110. The provider is registered as an organization entity type.

The provider's business location address is:

145 HILDEN RD
STE 113
PONTE VEDRA, FL
ZIP 32081-401
Phone: (904) 465-9062

The provider's authorized official is Leah R Carroll .
The authorized official title is Owner and has the following contact phone number (904) 465-9062.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	134780	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1871951244	OTHER	FLORIDA	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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