Organization Active NPI

Advanced Sonography LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Philadelphia, PA
National Provider Identifier
1356125298
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
ADVANCED SONOGRAPHY LLC
Practice address
2511 S Broad St Ste 203
Philadelphia, PA 19148-4309
Phone
(267) 334-4462
NPI assigned
Aug 22, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Ramy BarsoumNPI 1366263964
Title
Owner
Phone
(445) 223-4154

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

2511 S Broad St Ste 203
Philadelphia, PA 19148-4309

Mailing address

2511 S Broad St Ste 203
Philadelphia, PA 19148-4309
Phone (445) 223-4154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012003522 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2860847787 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

2511 S Broad St
#203
Philadelphia, PA 19148
Phone (267) 334-4462

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": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1356125298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 S BROAD ST STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "445-223-4154",
            "fax_number": "445-223-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 S BROAD ST STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "267-334-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SONOGRAPHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "RAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "445-223-4154"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.