Provider Demographics
NPI:1396795969
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:D
Authorized Official - Last Name:DUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-435-9478
Mailing Address - Street 1:6230 MCLEOD DR
Mailing Address - Street 2:STE 140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4049
Mailing Address - Country:US
Mailing Address - Phone:702-435-9478
Mailing Address - Fax:702-736-2199
Practice Address - Street 1:6230 MCLEOD DR
Practice Address - Street 2:STE 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4049
Practice Address - Country:US
Practice Address - Phone:702-435-9478
Practice Address - Fax:702-736-2199
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACOUSTIC IMAGING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-12
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile