Polk County Radiology Llc in Bolivar - Diagnostic Radiology
Polk County Radiology Llc - NPI 1780642249
Polk County Radiology Llc is a Diagnostic Radiology in Bolivar, Missouri. Polk County Radiology Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Polk County Radiology Llc is 1780642249. The last update date is 2008-08-14.
Polk County Radiology Llc's current location address is 1500 N Oakland Ave, Bolivar, Missouri. You can contact this provider via phone number 4173266000. The mailing address for Polk County Radiology Llc is 1500 N Oakland Ave, Bolivar, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Polk County Radiology Llc |
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Address | 1500 N Oakland Ave, Bolivar, Missouri |
Phone Number | 4173266000 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Reber Richard |
Credentials | MD |
Telephone Number | 4173286446 |
NPI Number Detail
NPI Number | 1780642249 |
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Provider Enumeration Date | 2006-05-03 |
Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
Address | 1500 N Oakland Ave |
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City | Bolivar |
State | Missouri (MO) |
Post Code | 656133011 |
Phone Number | 4173266000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
503989600 | MO | -- | |
110449 | MO | BCBS |
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What is the unique 10-digit identifier code assigned to Polk County Radiology Llc by the Centers for Medicare & Medicaid Services?
The Polk County Radiology Llc has been issued the NPI (National Provider Identifier) 1780642249 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Polk County Radiology Llc located?
The Polk County Radiology Llc is located at 1500 N Oakland Ave, Bolivar, MO 656133011.
What is Polk County Radiology Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Polk County Radiology Llc is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Polk County Radiology Llc receive the assignment of its 1780642249 from the Centers for Medicare & Medicaid Services?
The Polk County Radiology Llc was issued its 1780642249 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date were the details pertaining to Polk County Radiology Llc last refreshed?
The information related to the Polk County Radiology Llc, including its address, specialty, and other relevant details, was last updated on 2008-08-14.
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