TRI-LAKES DIAGNOSTIC TECH. (NPI# 1073646246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073646246 |
| Entity Type | Organization |
| Organization Name | TRI-LAKES DIAGNOSTIC TECH. |
| Practice Address |
523 St. Hwy 248 Ste 300 Branson MO 65616-7748 |
| Mailing Address |
523 State Highway 248 Ste 300 Branson MO 65616-7748 |
| Practice Telephone | 4173322152 |
| Practice Fax Number | 4173320443 |
| Mailing Telephone | 4173322152 |
| Mailing Fax Number | 4173320443 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID P HINTZ (PRESIDENT) |
| Authorized Official Telephone | 4173322152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
523 ST. HWY 248 STE 300 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-7748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598299117 | Deborah Candice | Radiologic Technologist | 4532 Harvshire Ct, Saint Louis, MO 63128-3625 | 2017-04-20 |
| 1922488857 | Jacob Hardin | Radiologic Technologist | 5 Kipling Way Apt 202, Columbia, MO 65201-7251 | 2015-06-05 |
| 1861570020 | Maple Crest Open Mri | Radiologic Technologist | 840 W Kansas Avenue, Ste A, Liberty, MO 64068-2033 | 2006-11-02 |
| 1598703589 | Opensided Mri of St Louis, LLC | Radiologic Technologist | 12101 Olive Blvd, Creve Coeur, MO 63141-6628 | 2006-06-03 |
| 1295707297 | Midwest Imaging Center, LLC | Radiologic Technologist | 604 Maple Valley Dr, Farmington, MO 63640-1976 | 2006-02-03 |
| 1578185989 | Feras Kaid | Radiologic Technologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.