ULTRA-DX, INC,


Address: 222 Andalusia Dr, Palm Beach Gardens, FL 33418-1736
Phone: 5616765093

ULTRA-DX, INC, (NPI# 1760932727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760932727
Entity Type Organization
Organization Name ULTRA-DX, INC,
Practice Address 222 Andalusia Dr
Palm Beach Gardens
FL 33418-1736
Practice Telephone 5616765093
Mailing Telephone 5616765093
Enumeration Date 2016-10-13
Last Update Date 2016-10-13
Authorized Official Name MR. CARL GAMBINO (CEO)
Authorized Official Telephone 5616765093
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities

Office Location

Street Address 222 ANDALUSIA DR
City PALM BEACH GARDENS
State FL
Zip Code 33418-1736

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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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Competitor

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City PALM BEACH GARDENS
Zip Code 33418

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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