WEST CENTRAL MISSOURI DIAGNOSTIC (NPI# 1386945665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386945665 |
| Entity Type | Organization |
| Organization Name | WEST CENTRAL MISSOURI DIAGNOSTIC |
| Other Organization Name | SEDALIA IMAGING CENTER |
| Practice Address |
1430 Thompson Blvd Ste 7 Sedalia MO 65301-2209 |
| Mailing Address |
Po Box 1547 Sedalia MO 65302-1547 |
| Practice Telephone | 6608510758 |
| Practice Fax Number | 6608510769 |
| Mailing Telephone | 6608265960 |
| Mailing Fax Number | 6608264852 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | DOUGLAS W. KIBURZ (PRESIDENT) |
| Authorized Official Telephone | 6608265890 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SEDALIA IMAGING CENTER | Doing Business As Name - Organization |
| Street Address |
1430 THOMPSON BLVD STE 7 |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633304 | Midwest Imaging Specialists | Clinic/Center | 201 S Mount Auburn Rd Ste B, Cape Girardeau, MO 63703-4912 | 2018-06-21 |
| 1922480110 | Eric Edwin Klein | Clinic/Center | 400 Stallion Hill Ct, Chesterfield, MO 63005-4838 | 2015-06-24 |
| 1255728226 | Harry S. Truman Mvh | Clinic/Center | 132 Southampton Dr, Columbia, MO 65203-3050 | 2015-04-17 |
| 1215326574 | Walker Medical Building Mri Services, LLC | Clinic/Center | 12855 N 40 Dr Lowr Level, Saint Louis, MO 63141-8657 | 2015-01-09 |
| 1558617035 | Hi Tech Diagnostics LLC | Clinic/Center | 16502 Barrister Ln, Chesterfield, MO 63005-4602 | 2012-08-02 |
| 1437476900 | Pearl Imaging, LLC | Clinic/Center | 4293 Veterans Memorial Pkwy, Saint Peters, MO 63376-1657 | 2010-04-23 |
| 1659504116 | Mri Partners of Chesterfield, LLC. | Clinic/Center | 14825 North Outer Forty Road, Suite 110, Chesterfield, MO 63017-2026 | 2009-09-01 |
| 1720232192 | Elite Imaging of North County, LLC | Clinic/Center | 433 Lynn Haven Ln, Hazelwood, MO 63042-1808 | 2008-11-11 |
| 1164647657 | Ct Partners of Chesterfield, LLC | Clinic/Center | 14825 North Outer Forty Rd., Ste 110, Chesterfield, MO 63017-2026 | 2007-04-17 |
| 1093854358 | Moberly Radiology & Imaging I, LLC | Clinic/Center | 1509 Union Ave, Moberly, MO 65270-9407 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WEST CENTRAL MISSOURI DIAGNOSTIC.
| 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.