Provider Demographics
NPI:1922165646
Name:SONOCARE DIAGNOSTIC IMAGING INC
Entity Type:Organization
Organization Name:SONOCARE DIAGNOSTIC IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARTWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-749-9822
Mailing Address - Street 1:6428 NW 54TH CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-7281
Mailing Address - Country:US
Mailing Address - Phone:954-749-9822
Mailing Address - Fax:954-749-4814
Practice Address - Street 1:7707 N UNIVERSITY DR
Practice Address - Street 2:SUITE 205
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2950
Practice Address - Country:US
Practice Address - Phone:954-749-9822
Practice Address - Fax:954-749-4814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010710300Medicaid
FL370186700Medicaid
FLE1439OtherPTAN