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Contact Information

TRI-LAKES DIAGNOSTIC TECH.
523 ST. HWY 248 STE 300
BRANSON, MO65616-7748
 Phone: 417-332-2152
 Fax: 417-332-0443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for TRI LAKES DIAGNOSTIC TECH · (Female)

NPI # 1073646246
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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