Ultrasound Clinic Diagnostic
LBN: Farzana Butt
Ultrasound Clinic Diagnostic is an health care organization with primary practice located at 2575 Spring Arbor Rd Suite #500, Jackson MI 49203-3652. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Farzana Butt can be contacted via phone (517) 784-5150, or through Sadasivan, Nanjapa C via phone (517) 784-5150.
Contact Information
Primary practice address
2575 Spring Arbor Rd Suite #500
Jackson MI 49203-3652
Phone: (517) 784-5150
Fax:
Website:
Authorized official contact:
Name: Sadasivan, Nanjapa C Doctor of Medicine (MD)
Phone: (517) 784-5150
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | NS033633 | Michigan |
| Technologists, Technicians & Other Technical Service Providers / Vascular Sonography | 2471V0105X |
Profile Details
| NPI number | 1871649236 |
|---|---|
| LBN Legal business name | Farzana Butt |
| DBA Doing business as | Ultrasound Clinic Diagnostic |
| Authorized official | Sadasivan, Nanjapa C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Apr 11th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871649236 | NPPES |
| Other | 128472 | GLP | |
| Other | 5970 | GLP | |
| Other | P71951 | GLP | |
| Other | 300C810210 | GLP | |
| Other | 1620009 | GLP | |
| MEDICAID | 104486551 | GLP | |
| Other | 380030 | GLP |
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