Organization
SONOSOURCE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH C MARCHAND (PRESIDENT)
(440) 645-4626
Entity
Organization
Contact information
Practice address
6773 INDUSTRIAL PKWY, NORTH OLMSTED, OH 44070-6303
(440) 645-7822
(440) 542-9482
Mailing address
5275 NAIMAN PKWY, SUITE E, SOLON, OH 44139-1016
(440) 542-1515
(440) 542-9482
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2726018
—
OH
Enumeration date
05/22/2006
Last updated
12/31/2009
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