Active NPI
Sound Imaging Inc LLC
- Mobile Radiology Clinic/Center
- Poplar Bluff, MO
National Provider Identifier
1114276797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- SOUND IMAGING INC LLC
- Practice address
- 1614 S Broadway St
Poplar Bluff, MO 63901-6342 - Phone
- (573) 785-0202
- Fax
- (573) 785-1211
- NPI assigned
- Aug 29, 2012
- Last updated
- Aug 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayle Deem
- Title
- Owner
- Phone
- (573) 785-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | NU | Primary |
Addresses
Primary practice location
1614 S Broadway St
Poplar Bluff, MO 63901-6342
Mailing address
1614 S Broadway St
Poplar Bluff, MO 63901-6342
Phone (573) 785-0202
National Provider Directory
National Provider DirectoryLocations
1614 S Broadway St
Poplar Bluff, MO 63901
Phone (573) 785-0202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1114276797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 S BROADWAY ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639016342",
"telephone_number": "573-785-0202",
"fax_number": "573-785-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 S BROADWAY ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639016342",
"telephone_number": "573-785-0202",
"fax_number": "573-785-1211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND IMAGING INC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "DEEM",
"authorized_official_first_name": "GAYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-785-0202"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Southeast Missouri Anesthesia Partners LLC
- Southeast Missouri Behavioral Health
- Southeast Missouri Community Treatment Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.