# SONOGRAM SPECIALIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164009981
- **Authorized official:** PATRICIA JILL HONNOLL (OWNER / MEMBER)
- **Authorized official phone:** (662) 588-8616

## Contact information

- **Practice address:** 520 HILLCREST CIR, CLEVELAND, MS 38732-2030
- **Practice address phone:** (901) 270-0898
- **Mailing address:** PO BOX 4084, CLEVELAND, MS 38732-5184
- **Mailing address phone:** (662) 588-8616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/09/2022