Organization Active NPI

Ic Sonography Inc

  • Sonography Radiologic Technologist
  • Pembroke Pines, FL
National Provider Identifier
1043732308
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
149090 Issued in FL
Legal business name
IC SONOGRAPHY INC
Practice address
8401 NW 8TH St
Pembroke Pines, FL 33024-6633
Phone
(786) 374-5110
Fax
(954) 212-0114
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laritza Lugo
Title
Ultrasound Tech
Phone
(786) 374-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X 149090 FL Primary

Addresses

Primary practice location

8401 NW 8TH St
Pembroke Pines, FL 33024-6633

Mailing address

8401 NW 8TH St
Pembroke Pines, FL 33024-6633
Phone (786) 374-5110

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043732308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 NW 8TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246633",
            "telephone_number": "786-374-5110",
            "fax_number": "954-212-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 NW 8TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246633",
            "telephone_number": "786-374-5110",
            "fax_number": "954-212-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IC SONOGRAPHY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "LARITZA",
        "authorized_official_title_or_position": "ULTRASOUND TECH",
        "authorized_official_telephone_number": "786-374-5110"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "149090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.