Organization Active NPI

Sonic Imaging

  • Mobile Radiology Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1780634550
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
SONIC IMAGING
Practice address
6230 McLeod Drive
Ste 140
Las Vegas, NV 89120-4049
Phone
(702) 736-2999
Fax
(702) 736-2199
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Stephen P Dubin
Title
Owner
Phone
(702) 736-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

6230 McLeod Drive
Ste 140
Las Vegas, NV 89120-4049

Mailing address

6230 McLeod Drive
Ste 140
Las Vegas, NV 89120-4049
Phone (702) 736-2999

Other identifiers 1

IdentifierTypeStateIssuer
2702019MedicaidNV

National Provider Directory

National Provider Directory

Locations

2595 Chandler Ave
Ste 6
Las Vegas, NV 89120
Phone (702) 736-2999

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1780634550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 MCLEOD DRIVE",
            "address_2": "STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204049",
            "telephone_number": "702-736-2999",
            "fax_number": "702-736-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 MCLEOD DRIVE",
            "address_2": "STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204049",
            "telephone_number": "702-736-2999",
            "fax_number": "702-736-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-736-2999"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2702019",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.