Healthcare Provider Details
I. General information
NPI: 1760135537
Provider Name (Legal Business Name): SONO IT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7307 BALTIMORE AVE STE 109
COLLEGE PARK MD
20740-3231
US
IV. Provider business mailing address
15590 TWIN RIVER CIR
BOWIE MD
20716-3572
US
V. Phone/Fax
- Phone: 301-337-8455
- Fax:
- Phone: 301-455-0849
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2471S1302X |
| Taxonomy | Sonography Radiologic Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335V00000X |
| Taxonomy | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRYAN
SWANN
Title or Position: OFFICE MANAGER
Credential:
Phone: 301-455-0849