Organization Active NPI

Sono Care of East Texas LLC

  • Radiology Clinic/Center
  • Tyler, TX
National Provider Identifier
1265761506
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
31878 Issued in TX
Legal business name
SONO CARE OF EAST TEXAS LLC
Practice address
625 Chase Dr Ste 106
Tyler, TX 75701-9452
Phone
(903) 520-3232
Fax
(903) 705-7353
NPI assigned
Dec 16, 2009
Last updated
Jul 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Mrs. Julie B Wood, ARDMS/RVT
Title
Owner/Sonographer
Phone
(903) 520-3232

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 31878 TX Primary
Mobile Radiology Clinic/Center 261QR0208X 31878 TX
Sonography Radiologic Technologist 2471S1302X 81047 TX
Vascular Sonography Radiologic Technologist 2471V0105X 31878 TX

Addresses

Primary practice location

625 Chase Dr Ste 106
Tyler, TX 75701-9452

Mailing address

625 Chase Dr Ste 106
Tyler, TX 75701-9452
Phone (903) 520-3232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112001114 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2567657745 Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Locations

1815 S Broadway Ave
Tyler, TX 75701
Phone (903) 705-4633

322 E Southeast Loop 323
Ste 110B
Tyler, TX 75701

322 Ese 323 Loop
Ste 110
Tyler, TX 75701
Phone (903) 705-4633

322 Ese 323 Loop
Ste 110B
Tyler, TX 75701
Phone (903) 705-4633

322 Ese 323 Loop
Ste 112
Tyler, TX 75701
Phone (903) 705-4633

625 Chase Dr
Ste 106
Tyler, TX 75701
Phone (903) 520-3232

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1265761506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CHASE DR STE 106",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019452",
            "telephone_number": "903-520-3232",
            "fax_number": "903-705-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CHASE DR STE 106",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019452",
            "telephone_number": "903-520-3232",
            "fax_number": "903-705-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONO CARE OF EAST TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/SONOGRAPHER",
        "authorized_official_telephone_number": "903-520-3232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARDMS/RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "31878",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "TX",
            "license": "31878",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TX",
            "license": "81047",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TX",
            "license": "31878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.