1922066810 NPI number — MAGNETIC RESONANCE IMAGING CENTER OF KANSAS LP

Table of content: (NPI 1922066810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922066810 NPI number — MAGNETIC RESONANCE IMAGING CENTER OF KANSAS LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAGNETIC RESONANCE IMAGING CENTER OF KANSAS LP
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:
1922066810
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2278
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66601-2278
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-232-2674
Provider Business Mailing Address Fax Number:
785-232-3488

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
731 SW MULVANE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66606-1665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-232-2674
Provider Business Practice Location Address Fax Number:
785-232-3488
Provider Enumeration Date:
05/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
785-234-2306

Provider Taxonomy Codes

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

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

  • Identifier: CH4989 . This is a "RAILROAD MEDICARE TRAVELE" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100213550A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com