MEDICARE: ADVANCED SONOGRAPHY SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	246XS1301X	Sonography Specialist/Technologist Cardiovascular
2	261QR0200X	Radiology Clinic/Center
3	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1750841706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SONOGRAPHY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	5508 VALLEY OAK DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79932-4404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6955 N MESA ST STE 110
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4424
Country	:	US
Telephone Number	:	915-283-4074
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRIAN KEITH LAWSON
Credential	:	RVS
Telephone Number	:	915-540-1357

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	04/24/2024

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