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Contact Information

NORTHEAST MISSOURI IMAGING ASSOCIATES, INC.
6000 HOSPITAL DRIVE
HANNIBAL, MO63401
 Phone: 573-221-7870
 Fax: 573-221-9323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for NORTHEAST MISSOURI IMAGING ASSOCIATES, INC.

NPI Number 1356309306
LBN Legal business name NORTHEAST MISSOURI IMAGING ASSOCIATES, INC.
Authorized official BRANDON SELLE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2006
Last updated 09/20/2007 - About 19 years ago
Identifiers
MO Other 1040 ANTHEM BLUE CROSS
MO Other 137441 HEALTHLINK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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