Provider Demographics
NPI:1457415804
Name:METROPOLITAN SOUND IMAGING INC.
Entity Type:Organization
Organization Name:METROPOLITAN SOUND IMAGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:KIRCHER
Authorized Official - Suffix:SR
Authorized Official - Credentials:RT(R)
Authorized Official - Phone:631-406-4210
Mailing Address - Street 1:544 JEFFERSON PLZ # 22
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-5002
Mailing Address - Country:US
Mailing Address - Phone:631-406-4210
Mailing Address - Fax:631-406-4202
Practice Address - Street 1:66 CLIFF RD
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-1033
Practice Address - Country:US
Practice Address - Phone:631-406-4210
Practice Address - Fax:631-406-4202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY51023476335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ300281471Medicare PIN
NYG300281469Medicare PIN
NYA300120446Medicare PIN
NYG300047635Medicare PIN
NY02935037Medicaid