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NPI Code Detail

MEDICARE: SOUNDTECH, INC.

MEDICARE: SOUNDTECH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0208XMobile Radiology Clinic/Center720059KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
39360501OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000073131OTHERKYANTHEM PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41600263OTHERKYUNITED HEALTHCARE PIN

General Provider Information

NPI Number : 1972551075
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUNDTECH, INC.
Provider Business Mailing Address
First Line : PO BOX 664
Second Line :
City : MT STERLING
State : KY
Zip : 40353-0664
Country : US
Telephone Number : 859-497-0197
Fax Number : 859-498-7800
Provider Business Practice Location Address
First Line : 805 E ALEXA DR
Second Line :
City : MT STERLING
State : KY
Zip : 40353-1000
Country : US
Telephone Number : 859-497-0197
Fax Number : 859-498-7800
Authorized Official
Title or Position : PRESIDENT
Name : MR. MICHAEL EDWARD GINN.
Credential : R.V.T.
Telephone Number : 859-497-0197
Provider Enumeration Date : 05/04/2006
Last Update Date : 12/18/2007

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