NPIMap

Organization Active NPI

Sonocare, LLC

  • Physiological Laboratory
  • Morganton, NC
National Provider Identifier
1164527149
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SONOCARE, LLC
Practice address
125 B Wamsutta Mill Rd.
Morganton, NC 28655
Phone
(828) 430-3511
Fax
(828) 430-3513
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Ms. Pamela R. Queen
Title
Member Manager
Phone
(828) 430-3511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NC
Physiological Laboratory 293D00000X NC Primary

Addresses

Primary practice location

125 B Wamsutta Mill Rd.
Morganton, NC 28655

Mailing address

125 B Wamsutta Mill Rd.
Morganton, NC 28655-5522
Phone (828) 430-3511

Other practice location 1

611 Mocksville Ave Ste 201
Salisbury, NC 28144-2738
Phone (704) 633-8776

Other identifiers 2

IdentifierTypeStateIssuer
8105018MedicaidNC
016XXOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000381 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204880107 Practice locations: Morganton, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

125 Wamsutta Mill Rd
Ste B
Morganton, NC 28655

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1164527149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 B WAMSUTTA MILL RD.",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555522",
            "telephone_number": "828-430-3511",
            "fax_number": "828-430-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 B WAMSUTTA MILL RD.",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-430-3511",
            "fax_number": "828-430-3513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Mocksville Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442738",
            "country_code": "US",
            "telephone_number": "704-633-8776",
            "fax_number": "336-464-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SONOCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "828-430-3511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8105018",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016XX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.