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General NPI Number Information
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NPI Number | 1124537469
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Entity Type | Organization
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Legal Business Name | SONOSTAT IMAGING, LLC.
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 4216 STONE HOLLOW WAY
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City | EULESS
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State | TX
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Zip | 76040-5598
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Country | US
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Telephone | 210-422-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 4216 STONE HOLLOW WAY
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City | EULESS
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State | TX
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Zip | 76040-5598
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Country | US
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Telephone | 210-422-0737
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. IFTIKHAR SAEED
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Credential | RVS
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Telephone | 210-422-0737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 00057662
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 00057662
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License Number State | TX
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