Organization Active NPI

Sound Imaging Inc LLC

  • Mobile Radiology Clinic/Center
  • Poplar Bluff, MO
National Provider Identifier
1114276797
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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": []
}

Other providers in Poplar Bluff, MO

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.

Verify at the official NPI Registry.