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Contact Information

BREAST IMAGING OF THE OZARKS LLC
2144 E REPUBLIC RD STE 104
SPRINGFIELD, MO65804-4623
 Phone: 870-945-9455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BREAST IMAGING OF THE OZARKS LLC

NPI Number 1417600412
LBN Legal business name BREAST IMAGING OF THE OZARKS LLC
Authorized official LOGAN LACKEY - (OWNER/MD)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2022
Last updated 01/31/2022 - About 4 years ago
Identifiers n/a
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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