Ozark Mobile Imaging Llc, NPI 1336101856
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Columbia, MO, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1336101856 |
| NPI Entity Type | Organization |
| Provider Name | Ozark Mobile Imaging Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2012 Cherry Hill Dr, Suite 202e, Columbia, MO, US |
| Provider Mailing Address | 306 S Belt Hwy, Saint Joseph, MO, US, 645063418 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Zachary B Evans |
| Official Position | MEMBER |
| Phone | 816-232-2727 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Classification |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Group | |
| Description | A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 716090808 | MO | MEDICAID | 01 |
| 000040062 | MO | MEDICARE AREA 99 | 01 |
| 388930 | KS | MEDICARE KS STATEWIDE | 01 |
| 200347870 | KS | MEDICAID | 01 |
| P00060615 | RAILROAD MEDICARE | 01 |
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DR. MD Douglas James Cassidy Individual |
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