MERCY HOSPITAL LEBANON NPI 1801148499

NPI Information

NPI: 1801148499
Provider Name: MERCY HOSPITAL LEBANON
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

CLIA Number: 26D1101251

Address:
1605 MARTIN SPRINGS DR
ROLLA, MO
ZIP 65401
Phone: (417) 533-6012
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MERCY HOSPITAL LEBANON is a body imaging radiology in Rolla, MO. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. MERCY HOSPITAL LEBANON NPI is 1801148499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1605 MARTIN SPRINGS DR
ROLLA, MO
ZIP 65401-982
Phone: (417) 533-6012

The provider's authorized official is William J Roberts .
The authorized official title is Vp-finance and has the following contact phone number (417) 820-7363.

The CLIA number assigned to this NPI record is 26D1101251 - other - osc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 2/16/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	No
2	207RS0012X	Internal Medicine	Sleep Medicine	No
3	2085R0202X	Radiology	Diagnostic Radiology	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	No
5	2085B0100X	Radiology	Body Imaging	Yes

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: 5/5/2024

NPI Synchronization or Removal

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