Shay Medical Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SHAY MEDICAL IMAGING, LLC

Practice address

1703 NW Woodbury Dr
Grain Valley, MO 64029-7217

Phone

(816) 777-6499

Fax

(816) 228-9110

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Staci Jo Haywood

Title

Owner

Phone

(816) 777-6499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1013289875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 NW WOODBURY DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640297217",
            "telephone_number": "816-777-6499",
            "fax_number": "816-228-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 NW WOODBURY DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640297217",
            "telephone_number": "816-777-6499",
            "fax_number": "816-228-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAY MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-777-6499"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Mobile Radiology Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.