Organization Active NPI

Sonoscan LLC

  • Radiologic Technologist
  • Chester, MD
National Provider Identifier
1184894024
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
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

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Nick Tkeshelashvili, MDNPI 1699945196
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)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X Primary
Cardiovascular-Interventional Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C1101X
Nuclear Medicine Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471N0900X
Vascular-Interventional Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.