Provider Demographics
NPI:1033552674
Name:CLEARSOUND IMAGING, LLC
Entity Type:Organization
Organization Name:CLEARSOUND IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPADAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:RDVS, RVS
Authorized Official - Phone:917-652-9123
Mailing Address - Street 1:6770 YELLOWSTONE BLVD
Mailing Address - Street 2:APT # 2C
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2858
Mailing Address - Country:US
Mailing Address - Phone:917-652-9123
Mailing Address - Fax:
Practice Address - Street 1:6770 YELLOWSTONE BLVD
Practice Address - Street 2:APT # 2C
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2858
Practice Address - Country:US
Practice Address - Phone:917-652-9123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-13
Last Update Date:2013-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile