Terri Kelley, NPI 1437202819
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Joplin, 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 | 1437202819 |
| NPI Entity Type | Organization |
| Provider Name |
Terri Kelley
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1801 Katherine Ave, Joplin, MO, US |
| Provider Mailing Address | Po Box 2966, 1801 Katherine St, Joplin, MO, US, 648032966 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Michael Kelley |
| Official Position | PRESIDENT |
| Phone | 417-626-9729 |
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 | |
| License No. | 309 |
| License State | MO |
| 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 200021670A | OK | MEDICAID | 05 |
| 719136509 | MO | MEDICAID | 05 |
| 200253180A | KS | MEDICAID | 05 |
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