Provider Demographics
NPI:1326094111
Name:ACOUSTIC IMAGING , INC
Entity Type:Organization
Organization Name:ACOUSTIC IMAGING , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-736-2999
Mailing Address - Street 1:6230 MCLEOD DR
Mailing Address - Street 2:# 140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4049
Mailing Address - Country:US
Mailing Address - Phone:702-736-2999
Mailing Address - Fax:702-736-2199
Practice Address - Street 1:6230 MCLEOD DR
Practice Address - Street 2:# 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4049
Practice Address - Country:US
Practice Address - Phone:702-736-2999
Practice Address - Fax:702-736-2199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP00257332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5181490001Medicare ID - Type UnspecifiedNATIONAL - ALL REGIONS