MIDWEST IMAGING CENTER, LLC (NPI# 1295707297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295707297 |
| Entity Type | Organization |
| Organization Name | MIDWEST IMAGING CENTER, LLC |
| Practice Address |
604 Maple Valley Dr Farmington MO 63640-1976 |
| Practice Telephone | 5737601674 |
| Practice Fax Number | 5737600228 |
| Mailing Telephone | 5737601674 |
| Mailing Fax Number | 5737600228 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | JENNIFER M SKINNER (OFFICE MANAGER) |
| Authorized Official Telephone | 5737567779 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 717263305 | 05 |
| Street Address |
604 MAPLE VALLEY DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
| 1073646246 | Tri-lakes Diagnostic Tech. | Radiologic Technologist | 523 St. Hwy 248 Ste 300, Branson, MO 65616-7748 | 2007-03-14 |
| 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 |
| 1578185989 | Feras Kaid | Radiologic Technologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-08 |
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on MIDWEST IMAGING CENTER, LLC.
| 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.