Provider Demographics
NPI:1346387420
Name:SONOTAPE, INC.
Entity Type:Organization
Organization Name:SONOTAPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-384-4126
Mailing Address - Street 1:1012 E COLORADO ST
Mailing Address - Street 2:UNIT 210
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1226
Mailing Address - Country:US
Mailing Address - Phone:818-244-2935
Mailing Address - Fax:
Practice Address - Street 1:1012 E COLORADO ST
Practice Address - Street 2:UNIT 210
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1226
Practice Address - Country:US
Practice Address - Phone:818-244-2935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty