Active NPI
Advanced Sonography LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Philadelphia, PA
National Provider Identifier
1356125298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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, 2023
- 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
- Ramy Barsoum
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231012003522 | PA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2860847787 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Vascular Specialist/Technologist Cardiovascular
- Phila, PA
- NPI 1366263964
-
- Cardiovascular Disease Physician
- Wayne, PA
- NPI 1083688857
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": []
}
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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.