NPIMap

Organization Active NPI

Sonata Diagnostic Imaging, LLC

Doing business as Sonata Diagnostic Imaging

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Edmond, OK
National Provider Identifier
1427479435
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
1295895282 Issued in OK
Legal business name
SONATA DIAGNOSTIC IMAGING, LLC
Doing business as
Sonata Diagnostic Imaging
Practice address
440 S Coltrane Rd
Edmond, OK 73034-6733
Phone
(405) 285-2581
Fax
(405) 330-1725
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Elizabeth J Borgert
Title
Vice President
Phone
(405) 285-2581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 1295895282 OK Primary

Addresses

Primary practice location

440 S Coltrane Rd
Edmond, OK 73034-6733

Mailing address

PO Box 3575
Edmond, OK 73083-3575
Phone (405) 285-2581

Other identifiers 1

IdentifierTypeStateIssuer
200588140AMedicaidOK

Other names 1

  • Sonata Diagnostic Imaging Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140721000177 OK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8729204292 Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

251 S Coltrane Rd
Edmond, OK 73034
Phone (405) 285-2581

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1427479435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3575",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730833575",
            "telephone_number": "405-285-2581",
            "fax_number": "405-330-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S COLTRANE RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346733",
            "telephone_number": "405-285-2581",
            "fax_number": "405-330-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONATA DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BORGERT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "405-285-2581"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OK",
            "license": "1295895282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200588140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonata Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.