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Contact Information

OZARK MOBILE IMAGING LLC
2012 CHERRY HILL DR
SUITE 202E
COLUMBIA, MO65203-5882
 Phone: 816-232-2727
 Fax: 816-232-2771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for OZARK MOBILE IMAGING LLC

NPI # 1336101856
LBN Legal business name OZARK MOBILE IMAGING LLC
Authorized official ZACHARY EVANS - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2006
Last updated 08/31/2011 - About 15 years ago
Identifiers
Other P00060615 RAILROAD MEDICARE
KS Other 200347870 MEDICAID
KS Other 388930 MEDICARE KS STATEWIDE
MO Other 716090808 MEDICAID
MO Other 000040062 MEDICARE AREA 99
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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