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ST JOSEPH MRI LLC NPI 1205803855


NPI Information

NPI: 1205803855
Provider Name: ST JOSEPH MRI LLC

Doing Business As: ANATOMI IMAGING

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
3600 E HARRY ST
WICHITA, KS
ZIP 67218
Phone: (316) 936-5080
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ST JOSEPH MRI LLC is a body imaging radiology in Wichita, KS. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. ST JOSEPH MRI LLC NPI is 1205803855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Anatomi Imaging.

The provider's business location address is:

3600 E HARRY ST
WICHITA, KS
ZIP 67218-713
Phone: (316) 936-5080
Fax: (316) 946-5088

The provider's authorized official is Robert Allan Allford .
The authorized official title is Ceo and has the following contact phone number (316) 946-5080.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 3/2/2009.


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
12085N0700XRadiologyNeuroradiologyKANSASNo
22085P0229XRadiologyPediatric RadiologyKANSASNo
32085R0202XRadiologyDiagnostic RadiologyKANSASNo
42085R0204XRadiologyVascular & Interventional RadiologyKANSASNo
52085B0100XRadiologyBody ImagingKANSASYes

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
1100213570AMEDICAIDKANSAS
2KA1298MEDICARE PINKANSAS
3016119MEDICARE PINKANSAS
4016119OTHERKANSASBCBS
5100213570BMEDICAIDKANSAS

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: 11/14/2023

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