Healthcare Provider Details

I. General information

NPI: 1164604229
Provider Name (Legal Business Name): SOUND MEDTREX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 N OCEAN DR 304
LAUDERDALE BY THE SEA FL
33308-5968
US

IV. Provider business mailing address

2401 SE 8TH ST
POMPANO BEACH FL
33062-6735
US

V. Phone/Fax

Practice location:
  • Phone: 954-822-4700
  • Fax:
Mailing address:
  • Phone: 954-822-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License NumberME0053997
License Number StateFL

VIII. Authorized Official

Name: WINSTON SINGH
Title or Position: PRESIDENT
Credential:
Phone: 954-822-4700