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A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Diagnostic Ultrasound |
2085U0001X |
| NPI Number | 1063280170 |
| LBN Legal business name | ZIVA MEDICAL CENTER LLC |
| Authorized official | AMANDA SHURTZ - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/18/2023 |
| Last updated | 12/18/2023 - About 2 years ago |
| Identifiers | n/a |
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| MAAMOON M AMOR, MD 1 HOSPITAL DRIVE MA423 COLUMBIA, MO |
| KELLI J MOORE, M.D. ONE HOSPITAL DR COLUMBIA, MO |
| MAAZ S MAQBOOL, MD 1 HOSPITAL DR COLUMBIA, MO |
| DAVID KOCH, DO 1 HOSPITAL DRIVE, DC06910 COLUMBIA, MO |
| ERIC G HEXEM, D.O 1 HOSPITAL DRIVE COLUMBIA, MO |
| JOEL SCHMIDT, DO 1 HOSPITAL DRIVE, DC069.10 COLUMBIA, MO |
| BRIAN T WRIGHT, MD ONE HOSPITAL DR COLUMBIA, MO |
| JUHI KOOLWAL 1 HOSPITAL DIRVE DDC06910 COLUMBIA, MO |
| BENJAMIN GREINER, DO 1 HOSPITAL DRIVE COLUMBIA, MO |
| MELISSA M LANE, CPS 616 N HOUSTON ST ADRIAN, MO |
ZIVA MEDICAL CENTER LLC