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MEDICAL IMAGING PA NPI 1124163795


NPI Information

NPI: 1124163795
Provider Name: MEDICAL IMAGING, PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 26D2005039

Address:
9501 N. OAK TRFY
KANSAS CITY, MO
ZIP 64155
Phone: (816) 795-6179
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MEDICAL IMAGING, PA is a diagnostic radiology radiology in Kansas City, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDICAL IMAGING, PA NPI is 1124163795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9501 N. OAK TRFY
KANSAS CITY, MO
ZIP 64155-256
Phone: (816) 795-6179

The provider's authorized official is John S. Dykstra .
The authorized official title is Physician/partner and has the following contact phone number (816) 455-0661.

The CLIA number assigned to this NPI record is 26D2005039 - other - radiology imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 2/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10711198002MEDICAIDMISSOURI
207119026OTHERMISSOURIBCBS
33370000OMEDICARE PINKANSAS
43370000BMEDICARE PINMISSOURI
53370000AMEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.