Organization · Type 2 NPI
Premiere Ultrasound, Inc
Radiology Clinic/Center · St. John, IN
NPI number
1477640639
Active
Practice location
8620 Wicker Ave
St. John, IN 46373-9649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
About NPI 1477640639
Premiere Ultrasound, Inc's National Provider Identifier is 1477640639, issued on Oct 9, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in St. John, IN. The record was last updated on Oct 2, 2007.