| NPI | 1699733162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E ALLEN Chairman 785-234-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X (Licence: KS 04-33832) |
| 2085R0001X | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-11-27 |