Organization Active NPI

Metropolitan Sound Imaging Inc.

  • Mobile Radiology Clinic/Center
  • Port Jefferson, NY
National Provider Identifier
1972553865
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
51023476 Issued in NY
Legal business name
METROPOLITAN SOUND IMAGING INC.
Practice address
66 Cliff Rd
Port Jefferson, NY 11777-1033
Phone
(631) 406-4210
Fax
(631) 406-4202
NPI assigned
May 11, 2006
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jamie Arthur Kircher Sr., RT(R)
Title
Ceo
Phone
(631) 406-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 51023476 NY Primary

Addresses

Primary practice location

66 Cliff Rd
Port Jefferson, NY 11777-1033

Mailing address

544 Jefferson PLZ
#22
Port Jefferson Station, NY 11776-5001
Phone (631) 406-4210

Other identifiers 2

IdentifierTypeStateIssuer
02333842MedicaidNY
02935037MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Sound Imaging Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1972553865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 JEFFERSON PLZ",
            "address_2": "#22",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117765001",
            "telephone_number": "631-406-4210",
            "fax_number": "631-406-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLIFF RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771033",
            "telephone_number": "631-406-4210",
            "fax_number": "631-406-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN SOUND IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "KIRCHER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-406-4210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NY",
            "license": "51023476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02333842",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02935037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.