MISSOURI DIAGNOSTIC SERVICES, LLC (NPI# 1508225715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508225715 |
| Entity Type | Organization |
| Organization Name | MISSOURI DIAGNOSTIC SERVICES, LLC |
| Practice Address |
1517 Copper Rd Holts Summit MO 65043-2033 |
| Practice Telephone | 6602070031 |
| Practice Fax Number | 8776735233 |
| Mailing Telephone | 6602070031 |
| Mailing Fax Number | 8776735233 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | ALEEM ABBASI (SECRETARY / MEMBER) |
| Authorized Official Telephone | 2695992090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760842603 | Missouri Diagnostic Services, LLC | Radiology | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
| 1215397153 | Missouri Diagnostic Services, LLC | Physiological Laboratory | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
| Street Address |
1517 COPPER RD |
| City | HOLTS SUMMIT |
| State | MO |
| Zip Code | 65043-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760842603 | Missouri Diagnostic Services, LLC | Radiology | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
| 1215397153 | Missouri Diagnostic Services, LLC | Physiological Laboratory | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285863340 | Walter A Henderson Jr. | Dentist | 320 S. Summit Dr., Holts Summit, MO 65043 | 2009-07-10 |
| 1356452155 | St Marys Holts Summit Phar | Pharmacy | 140 Northstar, Holts Summit, MO 65043 | 2006-08-31 |
| 1881666865 | James R Ennis | General Practice | 180 Northstar, Holts Summit, MO 65043 | 2006-02-03 |
| 1952357352 | Ssm Regional Health Services | Clinic/Center | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-05-26 |
| 1033170006 | Lorrie L Campbell | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-03-30 |
| 1710959598 | Capital Region Medical Center | Family Medicine | 180 Northstar St, Holts Summit, MO 65043-1123 | 2006-02-06 |
| 1285117622 | Linda Faye Cook | Pharmacy | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2018-09-12 |
| 1841552700 | Morgan John Schiermeier | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2012-06-15 |
| 1235151440 | Curtis W Dyer | Family Medicine | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-07-24 |
| 1811310469 | Lindsey Diane Holt | Occupational Therapist | 93 S Larand Dr, Holts Summit, MO 65043-1132 | 2014-01-31 |
| Find all providers in zip 65043 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946378 | Mjm Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1301 Oak St Ste 713, Kansas City, MO 64106-2913 | 2019-11-08 |
| 1861986176 | Biomedical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3450 Bridgeland Dr Ste F, Bridgeton, MO 63044-2605 | 2018-06-20 |
| 1891125142 | Midwest Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 408 Washington Ave Ste 107, West Plains, MO 65775-3404 | 2013-11-23 |
| 1265786305 | Prowave Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 238 Peach Ln, Ridgedale, MO 65739-4182 | 2012-10-27 |
| 1720239767 | American Mobile X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 Adair Road, Branson, MO 65615-7865 | 2008-10-08 |
| 1528214913 | Innovative Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 202 Miller Way, Monett, MO 65708-8336 | 2008-08-18 |
| 1790959773 | Digital X Mobile, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13 Cedar Crest Dr, Fenton, MO 63026-5041 | 2008-04-21 |
| 1376749812 | Mobile X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3050 N 20th St, Ozark, MO 65721-5925 | 2007-06-22 |
| 1720106958 | Gateway Sonographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1115 James Dr, Imperial, MO 63052-2343 | 2007-03-26 |
| 1417016114 | Hannibal Mobile Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2910 St. Mary's Ave., Hannibal, MO 63401 | 2006-12-08 |
| Find all providers with the same taxonomy | ||||
| City | HOLTS SUMMIT |
| Zip Code | 65043 |
Please comment or provide details below to improve the information on MISSOURI DIAGNOSTIC SERVICES, 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.