Healthcare Provider Details
I. General information
NPI: 1245329382
Provider Name (Legal Business Name): SONOGRAPHY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7341 N FIRST ST SUITE 107
FRESNO CA
93720-2948
US
IV. Provider business mailing address
7341 N FIRST ST SUITE 107
FRESNO CA
93720-2948
US
V. Phone/Fax
- Phone: 559-439-8929
- Fax: 559-439-8939
- Phone: 559-439-8929
- Fax: 559-439-8939
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BARBRA
WHITAKER
Title or Position: OWNER
Credential:
Phone: 559-439-5929