National Provider Identifier Database

PROFESSIONAL ULTRASOUND IMAGING
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

PROFESSIONAL ULTRASOUND & IMAGING
136 MEMORY PLZ
WHITEVILLE, NC28472-2640
Phone: 910-914-6154
Fax: 910-914-6156
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for PROFESSIONAL ULTRASOUND & IMAGING

NPI Number 1649398751
Legal business name
LBN
PROFESSIONAL ULTRASOUND & IMAGING
Authorized official CHRISTIAN LANE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/27/2007
Last updated 05/15/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 112625
  • NC License #: 279513
  • NC Medicaid: 8105016

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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