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NPI Code Detail

MEDICARE: SONO IMAGE LLC

MEDICARE: SONO IMAGE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12471S1302XSonography Radiologic Technologist2000091-320NV

General Provider Information

NPI Number : 1588824411
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONO IMAGE LLC
Provider Business Mailing Address
First Line : 6380 NARROW ISTHMUS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6411
Country : US
Telephone Number : 702-460-1941
Fax Number : 702-252-5044
Provider Business Practice Location Address
First Line : 3017 W CHARLESTON BLVD STE 90
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1928
Country : US
Telephone Number : 702-460-1941
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NAIRA BAGDASARIAN
Credential : RDMS, RVT, RDCS
Telephone Number : 702-460-1941
Provider Enumeration Date : 06/13/2008
Last Update Date : 07/01/2024

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Directions to “SONO IMAGE LLC ” Practice Location

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