| Organization Name: | FORDHAM SONOGRAPHICS |
| NPI Number: | 1093901969 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF W FORDHAM (PRESIDENT) |
| Mailing Address: | 3040 Moser Dome Rd Silesia |
| State: | MT US |
| Postal Code: | 590419607 |
| Phone Number: | 4066287980 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2007 |
| NPI Last Update Date: | 09/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | ARDMS 12496 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |