Provider Demographics
NPI:1629029111
Name:SONONET INC.
Entity Type:Organization
Organization Name:SONONET INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MANCINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-888-8866
Mailing Address - Street 1:901 W 43RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3133
Mailing Address - Country:US
Mailing Address - Phone:913-888-8866
Mailing Address - Fax:913-888-8829
Practice Address - Street 1:901 W 43RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3133
Practice Address - Country:US
Practice Address - Phone:913-888-8866
Practice Address - Fax:913-888-8829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ280136Medicaid
KS200333170AMedicaid
KSP00289013OtherRAILROAD MEDICARE
MO710360009Medicaid
MO710957507Medicaid
AZ280136Medicaid
AZ117531Medicare PIN
MO710957507Medicaid
MO000047056Medicare ID - Type UnspecifiedST LOUIS AREA
MO9004265AMedicare ID - Type UnspecifiedKANSAS CITY MO AREA
MO710360009Medicaid
KS200333170AMedicaid
KSP00289013OtherRAILROAD MEDICARE
MOP00289009Medicare PIN