BREAST IMAGING OF THE OZARKS LLC NPI 1417600412

NPI Information

BREAST IMAGING OF THE OZARKS LLC is a diagnostic radiology radiology in Springfield, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BREAST IMAGING OF THE OZARKS LLC NPI is 1417600412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2144 E REPUBLIC RD STE 104
SPRINGFIELD, MO
ZIP 65804-623
Phone: (870) 945-9455

The provider's authorized official is Logan Lackey .
The authorized official title is Owner/md and has the following contact phone number (870) 945-9455.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.

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:

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