PREMIER PET IMAGING OF WICHITA INC NPI 1417912221

NPI Information

PREMIER PET IMAGING OF WICHITA INC is a clinic center in Wichita, KS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMIER PET IMAGING OF WICHITA INC NPI is 1417912221. The provider is registered as an organization entity type.

The provider's business location address is:

500 S MAIN ST
SUITE B
WICHITA, KS
ZIP 67202-722
Phone: (316) 263-4738
Fax: (316) 263-6697

The provider's authorized official is George Mahoney .
The authorized official title is Chief Financial Officer and has the following contact phone number (561) 447-0046.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 10/2/2007.

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:

Other Identifiers

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

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