Provider Demographics
NPI:1154410397
Name:SONO GRAPHIC SOLUTIONS, INC.
Entity type:Organization
Organization Name:SONO GRAPHIC SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS, RVT, RTM
Authorized Official - Phone:309-696-7613
Mailing Address - Street 1:2320 W WINNEBAGO DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-3823
Mailing Address - Country:US
Mailing Address - Phone:309-696-7613
Mailing Address - Fax:309-683-3295
Practice Address - Street 1:2320 W WINNEBAGO DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-3823
Practice Address - Country:US
Practice Address - Phone:309-696-7613
Practice Address - Fax:309-683-3295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile