Sound Diagnostic Imaging, Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

117271 Issued in CO

Legal business name

SOUND DIAGNOSTIC IMAGING, INC

Practice address

4105 Muirfield CT
Pueblo, CO 81001-1107

Phone

(719) 671-2877

NPI assigned

Dec 11, 2009

Last updated

Jan 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Reza Zia-Ahmadi, RDCS

Title

Sonographer

Phone

(719) 671-2877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1760711360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 MUIRFIELD CT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011107",
            "telephone_number": "719-671-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 MUIRFIELD CT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011107",
            "telephone_number": "719-671-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND DIAGNOSTIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "ZIA-AHMADI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "SONOGRAPHER",
        "authorized_official_telephone_number": "719-671-2877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CO",
            "license": "117271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Soto
• Olivia J Soto
• Rachel L. Soto, AA, CAC I
• Steffan Soto
• Cynthia R. Souleret, PMHNP-BC
• South Pueblo Dental Partners LLP (Comfort Dental South Pueblo)
• South Pueblo Medical Investors, LLC (Life Care Center of Pueblo)
• Southern Colorado Anesthesia Professional LLC
• Southern Colorado Clinic
• Southern Colorado Clinic PC

• Mobile Radiology Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mobile Radiology Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.