Provider Demographics
NPI:1649465154
Name:SOUND IMAGING MEDICAL, INC.
Entity type:Organization
Organization Name:SOUND IMAGING MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIGNESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-619-0122
Mailing Address - Street 1:10313 BROOMFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1448
Mailing Address - Country:US
Mailing Address - Phone:512-619-0122
Mailing Address - Fax:512-301-3542
Practice Address - Street 1:10313 BROOMFLOWER DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-1448
Practice Address - Country:US
Practice Address - Phone:512-619-0122
Practice Address - Fax:512-301-3542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile