Healthcare Provider Details

I. General information

NPI: 1447406814
Provider Name (Legal Business Name): SONA IMAGING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2008
Last Update Date: 09/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 TREEMONT DR
ORANGE CITY FL
32763-7953
US

IV. Provider business mailing address

152 TREEMONT DR
ORANGE CITY FL
32763-7953
US

V. Phone/Fax

Practice location:
  • Phone: 888-221-9193
  • Fax: 888-221-7753
Mailing address:
  • Phone: 888-221-9193
  • Fax: 888-221-7753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number99517 ARDMS
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number99517 ARDMS
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number99517 ARDMS
License Number StateFL

VIII. Authorized Official

Name: MRS. LARA MILLER
Title or Position: OWNER/PRESIDENT/CEO
Credential: RDMS, RVT, RDCS, RCC
Phone: 888-221-9193