| Organization Name: | SONICARE DIAGNOSTICS, LLC |
| NPI Number: | 1285806083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARA BETH BLYSTONE (PRESIDENT) |
| Mailing Address: | 2570 Groveland Ave Deltona |
| State: | FL US |
| Postal Code: | 327259646 |
| Phone Number: | 4072215665 |
| Fax Number: | 4073867077 |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | ARDMS 99517 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |