Provider Demographics
NPI:1417841016
Name:TOP ULTRASOUND IMAGE, CORP
Entity type:Organization
Organization Name:TOP ULTRASOUND IMAGE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VENTURENO
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:818-271-0028
Mailing Address - Street 1:300 LA JOYA PASS
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5176
Mailing Address - Country:US
Mailing Address - Phone:818-271-0028
Mailing Address - Fax:
Practice Address - Street 1:300 LA JOYA PASS
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-5176
Practice Address - Country:US
Practice Address - Phone:818-271-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile