| Organization Name: | SOUND IMAGING INC LLC |
| NPI Number: | 1114276797 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAYLE DEEM (OWNER) |
| Mailing Address: | 1614 S Broadway St Poplar Bluff |
| State: | MO US |
| Postal Code: | 639016342 |
| Phone Number: | 5737850202 |
| Fax Number: | 5737851211 |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |