Provider Demographics
NPI:1487828141
Name:ANTICIPATION ULTRASOUND STUDIO LLC
Entity type:Organization
Organization Name:ANTICIPATION ULTRASOUND STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:CORYELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-665-2229
Mailing Address - Street 1:5055 S 78TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-6002
Mailing Address - Country:US
Mailing Address - Phone:918-665-2229
Mailing Address - Fax:
Practice Address - Street 1:5055 S 78TH EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-6002
Practice Address - Country:US
Practice Address - Phone:918-665-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty