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
Address 1500 N Oakland Ave, Bolivar, Missouri
Phone Number 4173266000
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Reber Richard
Credentials MD
Telephone Number 4173286446

NPI Number Detail

NPI Number 1780642249
Provider Enumeration Date 2006-05-03
Last Updated Date 2008-08-14

Provider Mailing Address Detail

Address 1500 N Oakland Ave
City Bolivar
State Missouri (MO)
Post Code 656133011
Phone Number 4173266000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
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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FAQs about Polk County Radiology Llc

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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