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Contact Information

MAPLE CREST OPEN MRI
840 W KANSAS AVENUE
STE A
LIBERTY, MO64068-2033
 Phone: 816-587-1818
 Fax: 816-505-5004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for MAPLE CREST OPEN MRI

NPI # 1861570020
LBN Legal business name MAPLE CREST OPEN MRI
Authorized official SCOTT ROSSOW - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 08/27/2014 - About 12 years ago
Identifiers
MO Other 34425017 BLUE CROSS BLUE SHIELD
MO Other P00152744 RAILROAD MEDICARE
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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