Provider Demographics
NPI:1972551075
Name:SOUNDTECH, INC.
Entity type:Organization
Organization Name:SOUNDTECH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:GINN.
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:859-497-0197
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-0664
Mailing Address - Country:US
Mailing Address - Phone:859-497-0197
Mailing Address - Fax:859-498-7800
Practice Address - Street 1:805 E ALEXA DR
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1000
Practice Address - Country:US
Practice Address - Phone:859-497-0197
Practice Address - Fax:859-498-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY720059261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000073131OtherANTHEM PIN
KY86010873Medicaid
KY9360501OtherRAILROAD MEDICARE
KY1600263OtherUNITED HEALTHCARE PIN
KY1600263OtherUNITED HEALTHCARE PIN
KY86010873Medicaid