Individual provider Active NPI

Ladella Robles, RDMS

  • Sonography Radiologic Technologist
  • Charlotte, NC
National Provider Identifier
1477841120
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
122593 Issued in NC
Practice address
4801 E Independence Blvd
Ste 502
Charlotte, NC 28212-5400
Phone
(704) 728-7011
Fax
(704) 391-9746
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 122593 NC Primary

Addresses

Primary practice location

4801 E Independence Blvd
Ste 502
Charlotte, NC 28212-5400

Mailing address

1917 Double Cedar Dr
Charlotte, NC 28214-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
122593NCMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sono-Assist Imaging Services, LLC Sonography Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1477841120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 DOUBLE CEDAR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD",
            "address_2": "STE 502",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125400",
            "telephone_number": "704-728-7011",
            "fax_number": "704-391-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "LADELLA",
        "credential": "RDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NC",
            "license": "122593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.