National Provider Identifier Database

MEDICAL MILE IMAGING
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MEDICAL MILE IMAGING
3905 E WINDSMORE DR
SPRINGFIELD, MO65802
Phone: 417-864-8360
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for MEDICAL MILE IMAGING

NPI Number 1407389596
Legal business name
LBN
MEDICAL MILE IMAGING
Authorized official DAN SULLIVAN - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 04/06/2017
Last updated 04/06/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: R4804

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.

Reviews for MEDICAL MILE IMAGING

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