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SONOSOURCE DIAGNOSTICS LLC NPI 1154375244


NPI Information

NPI: 1154375244
Provider Name: SONOSOURCE DIAGNOSTICS LLC
Classification: Radiologic Technologist - 2471V0105X
Entity Type: Organization

Specialization: Vascular Sonography

Address:
6773 INDUSTRIAL PKWY
NORTH OLMSTED, OH
ZIP 44070
Phone: (440) 645-7822
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SONOSOURCE DIAGNOSTICS LLC is a vascular sonography radiologic technologist in North Olmsted, OH. The provider is definition to come. SONOSOURCE DIAGNOSTICS LLC NPI is 1154375244. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6773 INDUSTRIAL PKWY
NORTH OLMSTED, OH
ZIP 44070-303
Phone: (440) 645-7822
Fax: (440) 542-9482

The provider's authorized official is Keith C Marchand .
The authorized official title is President and has the following contact phone number (440) 645-4626.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 12/31/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246XS1301XSpecialist/Technologist CardiovascularSonographyNo
22471S1302XRadiologic TechnologistSonographyNo
32471V0105XRadiologic TechnologistVascular SonographyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12726018MEDICAIDOHIO
2ID02881MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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