Sonosource Diagnostics LLC

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

Legal business name

SONOSOURCE DIAGNOSTICS LLC

Practice address

6773 Industrial Pkwy
North Olmsted, OH 44070-6303

Phone

(440) 645-7822

Fax

(440) 542-9482

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Keith C Marchand

Title

President

Phone

(440) 645-4626

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1154375244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 NAIMAN PKWY",
            "address_2": "SUITE E",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391016",
            "telephone_number": "440-542-1515",
            "fax_number": "440-542-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6773 INDUSTRIAL PKWY",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440706303",
            "telephone_number": "440-645-7822",
            "fax_number": "440-542-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOSOURCE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "MARCHAND",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-645-4626"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2726018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.