Tri-Lakes Diagnostic Tech.

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

TRI-LAKES DIAGNOSTIC TECH.

Practice address

523 St. Hwy 248 Ste 300
Branson, MO 65616-7748

Phone

(417) 332-2152

Fax

(417) 332-0443

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David P Hintz

Title

President

Phone

(417) 332-2152

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan L Kester, MD

  • Diagnostic Radiology Physician
  • Springfield, MO
  • NPI 1770541013
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073646246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 STATE HIGHWAY 248 STE 300",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167748",
            "telephone_number": "417-332-2152",
            "fax_number": "417-332-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ST. HWY 248 STE 300",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167748",
            "telephone_number": "417-332-2152",
            "fax_number": "417-332-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LAKES DIAGNOSTIC TECH.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-332-2152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri Lakes Medical and Surgical Eye Clinic, Inc.
• Tri-Lakes Anesthesia, LLC
• Tri-Lakes Chiropractic Clinic P C
• Tri-Lakes Church
• Tri-Lakes Diagnostic Imaging, LLC
• Tri-Lakes Surgery Center, LLC
• Tri-Lakes Urology, Inc
• Holli Jo Triboulet
• Dustin Ryan Tripp, MD
• Elizabeth Demetra Tsahiridis, MSMHC MSED PLPC CIT

• All providers in Branson, MO
• Magnetic Resonance Imaging Radiologic Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.