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1417600412
BREAST IMAGING OF THE OZARKS LLC
SPRINGFIELD, MO
NPI
1417600412
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Entity Type
Organization
Authorized Contact
LOGAN LACKEY
Owner/Md
870-945-9455
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
BREAST IMAGING OF THE OZARKS LLC
2144 E REPUBLIC RD STE 104
SPRINGFIELD, MO 65804-4623
Phone number: 870-945-9455
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Mailing Address
BREAST IMAGING OF THE OZARKS LLC
3206 4TH ST
LONGVIEW, TX 75605-5143
Phone number: 903-663-4800
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