| NPI | 1265989172 |
|---|---|
| Doing Business As | COEUR D'ALENE ULTRASOUND |
| Entity Type | Organization |
| Authorized Contact | TRAVIS ARMSTRONG CEO 208-771-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: CA ARDMS52476) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: NY ARDMS79341) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: CA ARDMS52476) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |