Organization
PHOENIX SONOGRAPHIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONG YANG (DIRECTOR OF PROFESSIONAL SERVICES)
(718) 790-2775
Entity
Organization
Contact information
Practice address
207 W CLARENDON AVE, # 10G, PHOENIX, AZ 85013-3416
(718) 790-2775
Mailing address
207 W CLARENDON AVE, # 10G, PHOENIX, AZ 85013-3435
(718) 790-2775
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
99018
—
2471V0105X
Vascular Sonography Radiologic Technologist
99018
—
Other
Enumeration date
06/12/2013
Last updated
11/25/2013
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