Healthcare Provider Details

I. General information

NPI: 1972551075
Provider Name (Legal Business Name): SOUNDTECH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 E ALEXA DR
MT STERLING KY
40353-1000
US

IV. Provider business mailing address

PO BOX 664
MT STERLING KY
40353-0664
US

V. Phone/Fax

Practice location:
  • Phone: 859-497-0197
  • Fax: 859-498-7800
Mailing address:
  • Phone: 859-497-0197
  • Fax: 859-498-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number720059
License Number StateKY

VIII. Authorized Official

Name: MR. MICHAEL EDWARD GINN.
Title or Position: PRESIDENT
Credential: R.V.T.
Phone: 859-497-0197