Provider Demographics
NPI:1932259454
Name:SOUND MEDICAL IMAGING
Entity Type:Organization
Organization Name:SOUND MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNSTALL
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS
Authorized Official - Phone:949-582-9122
Mailing Address - Street 1:26482 VERDUGO
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-4147
Mailing Address - Country:US
Mailing Address - Phone:949-582-9122
Mailing Address - Fax:
Practice Address - Street 1:26482 VERDUGO
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-4147
Practice Address - Country:US
Practice Address - Phone:949-582-9122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA276772471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG241Medicare ID - Type Unspecified