Mckenzie Medical Imaging Pc in Springfield - Specialist

Mckenzie Medical Imaging Pc - NPI 1114969532

Mckenzie Medical Imaging Pc is a Specialist in Springfield, Oregon. Mckenzie Medical Imaging Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mckenzie Medical Imaging Pc is 1114969532. The last update date is 2009-05-21.

Mckenzie Medical Imaging Pc's current location address is 960 N 16th St, Springfield, Oregon. You can contact this provider via phone number 5417264699 and fax number 5417446069. The mailing address for Mckenzie Medical Imaging Pc is 960 N 16th St, Springfield, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mckenzie Medical Imaging Pc
Address 960 N 16th St, Springfield, Oregon
Phone Number 5417264699
Fax Number 5417446069
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Bridges L Vicki
Telephone Number 5417264699

NPI Number Detail

NPI Number 1114969532
Provider Enumeration Date 2006-06-11
Last Updated Date 2009-05-21

Provider Mailing Address Detail

Address 960 N 16th St
City Springfield
State Oregon (OR)
Post Code 974774175
Phone Number 5417264699
Fax Number 5417446069

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C03559 OR RAILROAD MEDICARE
18382 OR --

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FAQs about Mckenzie Medical Imaging Pc

What is the unique provider identifier assigned to Mckenzie Medical Imaging Pc?

The Mckenzie Medical Imaging Pc has been issued the NPI (National Provider Identifier) 1114969532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Mckenzie Medical Imaging Pc is geographically located?

The Mckenzie Medical Imaging Pc is physically situated at the following location: 960 N 16Th St, Springfield, OR, 974774175.

What is the Mckenzie Medical Imaging Pc's area of specialization and corresponding taxonomy classification?

The Mckenzie Medical Imaging Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date was the 1114969532 assigned to Mckenzie Medical Imaging Pc?

The Mckenzie Medical Imaging Pc was issued its 1114969532 on 2006-06-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Mckenzie Medical Imaging Pc last refreshed?

The information related to the Mckenzie Medical Imaging Pc, including its address, specialty, and other relevant details, was last updated on 2009-05-21.

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