1528169752 NPI number — MIDWEST RADIOLOGY, INC.

Table of content: (NPI 1528169752)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528169752 NPI number — MIDWEST RADIOLOGY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIDWEST RADIOLOGY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528169752
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 802813
Provider Second Line Business Mailing Address:
MIDWEST RADIOLOGY INC
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64180-2813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-491-0413
Provider Business Mailing Address Fax Number:
913-491-0411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2316 E. MEYER BLVD.
Provider Second Line Business Practice Location Address:
RESEARCH MEDICAL CENTER RADIOLOGY DEPT
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64132-1136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-276-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SWEENEY
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
816-276-4141

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100315900A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: I230000 . This is a "MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 501204200 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: I23000A . This is a "MEDICARE PROVIDER NUMBER-BELTON" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 24912012 . This is a "BCBS KANSAS CITY" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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