| Organization Name: | SONOELITE IMAGING, INC. |
| NPI Number: | 1104125400 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINA VALLEJO (CEO) |
| Mailing Address: | 8435 101st St Richmond Hill |
| State: | NY US |
| Postal Code: | 114181110 |
| Phone Number: | 7183559096 |
| Fax Number: | 7187257103 |
| NPI Enumeration Date: | 03/25/2011 |
| NPI Last Update Date: | 08/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | 132113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |