NPIMap

Organization Active NPI

Sonicare Diagnostics, LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Deltona, FL
National Provider Identifier
1285806083
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
ARDMS 99517 Issued in FL
Legal business name
SONICARE DIAGNOSTICS, LLC
Practice address
2570 Groveland Ave
Deltona, FL 32725-9646
Phone
(407) 221-5665
Fax
(407) 386-7077
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Miss Lara Beth Blystone, RDMS, RVT, RDCS
Title
President
Phone
(407) 221-5665

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XS1301X ARDMS 99517 FL Primary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X ARDMS 99517 FL
Vascular Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471V0105X ARDMS 99517 FL

Addresses

Primary practice location

2570 Groveland Ave
Deltona, FL 32725-9646

Mailing address

2570 Groveland Ave
Deltona, FL 32725-9646
Phone (407) 221-5665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1285806083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 GROVELAND AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327259646",
            "telephone_number": "407-221-5665",
            "fax_number": "407-386-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 GROVELAND AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327259646",
            "telephone_number": "407-221-5665",
            "fax_number": "407-386-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONICARE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BLYSTONE",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-221-5665",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "FL",
            "license": "ARDMS 99517",
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "ARDMS 99517",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "FL",
            "license": "ARDMS 99517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.