Organization
SONICARE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LARA BETH BLYSTONE RDMS, RVT, RDCS (PRESIDENT)
(407) 221-5665
Entity
Organization
Contact information
Practice address
2570 GROVELAND AVE, DELTONA, FL 32725-9646
(407) 221-5665
(407) 386-7077
Mailing address
2570 GROVELAND AVE, DELTONA, FL 32725-9646
(407) 221-5665
(407) 386-7077
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
ARDMS 99517
FL
2471S1302X
Sonography Radiologic Technologist
ARDMS 99517
FL
2471V0105X
Vascular Sonography Radiologic Technologist
ARDMS 99517
FL
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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