Healthcare Provider Details

I. General information

NPI: 1629029111
Provider Name (Legal Business Name): SONONET INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W 43RD ST
KANSAS CITY MO
64111-3133
US

IV. Provider business mailing address

901 W 43RD ST
KANSAS CITY MO
64111-3133
US

V. Phone/Fax

Practice location:
  • Phone: 913-888-8866
  • Fax: 913-888-8829
Mailing address:
  • Phone: 913-888-8866
  • Fax: 913-888-8829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License NumberN/A
License Number State

VIII. Authorized Official

Name: DR. MICHAEL S MANCINA
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 913-888-8866