Provider Demographics
NPI:1326049446
Name:SONOTECH, INC.
Entity Type:Organization
Organization Name:SONOTECH, INC.
Other - Org Name:MEDI-SPECT DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:MR
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-600-8097
Mailing Address - Street 1:18981 VENTURA BLVD
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3237
Mailing Address - Country:US
Mailing Address - Phone:818-600-8097
Mailing Address - Fax:818-600-8089
Practice Address - Street 1:18981 VENTURA BLVD
Practice Address - Street 2:SUITE 100B
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3237
Practice Address - Country:US
Practice Address - Phone:818-600-8097
Practice Address - Fax:818-600-8089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty