Provider Demographics
NPI:1710967948
Name:SOUND DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:SOUND DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-983-5653
Mailing Address - Street 1:3600 RODEO LN
Mailing Address - Street 2:SUITE B3
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-4890
Mailing Address - Country:US
Mailing Address - Phone:505-438-2828
Mailing Address - Fax:505-473-3196
Practice Address - Street 1:3600 RODEO LN
Practice Address - Street 2:SUITE B3
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-4890
Practice Address - Country:US
Practice Address - Phone:505-438-2828
Practice Address - Fax:505-473-3196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty