Sonic Labzone Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SONIC LABZONE INC

Practice address

105 W Capitol Ave
Little Rock, AR 72201-5731

Phone

(501) 442-0171

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Nikolay Agishev

Title

President

Phone

(501) 442-0171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1386831733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 VAN NUYS BLVD",
            "address_2": "SUITE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CAPITOL AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722015731",
            "telephone_number": "501-442-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIC LABZONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "AGISHEV",
        "authorized_official_first_name": "NIKOLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-442-0171"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.