Provider Demographics
NPI:1992595631
Name:SONOTECH GROUP PRACTICE LLC
Entity type:Organization
Organization Name:SONOTECH GROUP PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGLIORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-459-2445
Mailing Address - Street 1:4301 LAPALCO BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4336
Mailing Address - Country:US
Mailing Address - Phone:251-459-2445
Mailing Address - Fax:985-231-4710
Practice Address - Street 1:4301 LAPALCO BLVD STE B
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4336
Practice Address - Country:US
Practice Address - Phone:251-459-2445
Practice Address - Fax:985-231-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty