Healthcare Provider Details

I. General information

NPI: 1235619321
Provider Name (Legal Business Name): SONOCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 MOCKSVILLE AVE STE 203
SALISBURY NC
28144-2738
US

IV. Provider business mailing address

125 WAMSUTTA MILL RD STE B
MORGANTON NC
28655-5522
US

V. Phone/Fax

Practice location:
  • Phone: 704-633-8776
  • Fax:
Mailing address:
  • Phone: 828-430-3511
  • Fax: 828-430-3513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: PAMELA RENEE QUEEN
Title or Position: MEMBER MANAGER
Credential:
Phone: 828-430-3511