1255364394 NPI number — SONOGRAPHY SERVICES INC.

Table of content: (NPI 1255364394)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255364394 NPI number — SONOGRAPHY SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SONOGRAPHY SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255364394
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 66833
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87193-6833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-899-1447
Provider Business Mailing Address Fax Number:
505-899-1447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5621 PALOMINO DR NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87120-2237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-899-1447
Provider Business Practice Location Address Fax Number:
505-899-1447
Provider Enumeration Date:
07/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GONZALES
Authorized Official First Name:
ROSALIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
505-899-1447

Provider Taxonomy Codes

  • Taxonomy code: 246XS1301X , with the licence number:  14339 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)