Organization Active NPI

Medical Imaging Inc

  • Diagnostic Radiology Physician
  • Independence, MO
National Provider Identifier
1003017575
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL IMAGING INC
Practice address
19000 E Eastland Center CT Ste 100
Independence, MO 64055-7023
Phone
(816) 876-2900
Fax
(816) 876-2903
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Wagner, CPC, RCC
Title
Coding Specialist
Phone
(816) 455-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

19000 E Eastland Center CT Ste 100
Independence, MO 64055-7023

Mailing address

9501 N Oak Trfy Ste 100
Kansas City, MO 64155-2201
Phone (816) 455-0661

Other identifiers 1

IdentifierTypeStateIssuer
07119026OtherMOBCBS

National Provider Directory

National Provider Directory
Tax ID family
Medical Imaging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1003017575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 N OAK TRFY STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552201",
            "telephone_number": "816-455-0661",
            "fax_number": "816-455-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 E EASTLAND CENTER CT STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557023",
            "telephone_number": "816-876-2900",
            "fax_number": "816-876-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CODING SPECIALIST",
        "authorized_official_telephone_number": "816-455-0661",
        "authorized_official_credential": "CPC, RCC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07119026",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.