Organization Name: | SONOGENIC ULTRASOUND INC |
NPI Number: | 1043268931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIDA B HODGSON (V. PRESIDENT) |
Mailing Address: | 7628 Margate Blvd Margate |
State: | FL US |
Postal Code: | 330633352 |
Phone Number: | 9549840049 |
Fax Number: | 9549847005 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 04/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |