Active NPI
Sonoscan LLC
- Radiologic Technologist
- Chester, MD
National Provider Identifier
1184894024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- Legal business name
- SONOSCAN LLC
- Practice address
- 12F Queen Anne Way
Chester, MD 21619-2538 - Phone
- (443) 870-3750
- NPI assigned
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Tkeshelashvili, MD
- Title
- Preisdent and Ceo
- Phone
- (443) 710-7017
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | Primary | ||
| Cardiovascular-Interventional Technology Radiologic Technologist | 2471C1101X | |||
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | |||
| Vascular-Interventional Technology Radiologic Technologist | 2471V0106X |
Addresses
Primary practice location
12F Queen Anne Way
Chester, MD 21619-2538
Mailing address
12F Queen Anne Way
Chester, MD 21619-2538
Phone (443) 870-3750
National Provider Directory
National Provider DirectoryLocations
6355 Walker Ln
Ste 303
Alexandria, VA 22310
Phone (703) 751-5763
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular-Interventional Technology Radiologic Technologist
- Baltimore, MD
- NPI 1699945196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1184894024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12F QUEEN ANNE WAY",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192538",
"telephone_number": "443-870-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12F QUEEN ANNE WAY",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192538",
"telephone_number": "443-870-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONOSCAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2023-10-18",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "TKESHELASHVILI",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "PREISDENT AND CEO",
"authorized_official_telephone_number": "443-710-7017",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471C1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471N0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular-Interventional Technology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.