Healthcare Provider Details
I. General information
NPI: 1811036221
Provider Name (Legal Business Name): SONOVISION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 E FLAMINGO RD SUITE N-138
LAS VEGAS NV
89119-7427
US
IV. Provider business mailing address
1050 E FLAMINGO RD SUITE N-138
LAS VEGAS NV
89119-7427
US
V. Phone/Fax
- Phone: 702-369-4216
- Fax:
- Phone: 702-369-4216
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335V00000X |
| Taxonomy | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MANUEL
ARIAS
Title or Position: PRESIDENT
Credential:
Phone: 702-369-4216