Provider Demographics
NPI:1164609202
Name:SONOPROS, INC.
Entity Type:Organization
Organization Name:SONOPROS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLESNITCHENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-388-6498
Mailing Address - Street 1:6051 KINGSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1467
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6051 KINGSFIELD DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-1467
Practice Address - Country:US
Practice Address - Phone:248-388-6498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile