Provider Demographics
NPI:1841653524
Name:SONOTECH IMAGING, INC.
Entity type:Organization
Organization Name:SONOTECH IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-250-8311
Mailing Address - Street 1:17330 W CENTER RD STE 110-315
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2392
Mailing Address - Country:US
Mailing Address - Phone:402-250-8311
Mailing Address - Fax:
Practice Address - Street 1:17330 W CENTER RD STE 110-315
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2392
Practice Address - Country:US
Practice Address - Phone:402-250-8311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier