MEDICARE: SONOVISION, INC.

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
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1811036221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONOVISION, INC.

Provider Business Mailing Address
First Line	:	1050 E FLAMINGO RD
Second Line	:	SUITE N-138
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7427
Country	:	US
Telephone Number	:	702-369-4216
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 E FLAMINGO RD
Second Line	:	SUITE N-138
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7427
Country	:	US
Telephone Number	:	702-369-4216
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MANUEL ARIAS
Credential	:
Telephone Number	:	702-369-4216

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	08/22/2020

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