Active NPI
Haysville Diagnostic Center LLC
- Mammography Clinic/Center
- Wichita, KS
National Provider Identifier
1104874510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- License
- 236167
- Legal business name
- HAYSVILLE DIAGNOSTIC CENTER LLC
- Practice address
- 2020 N Tyler Rd
Ste. # 114
Wichita, KS 67212-4916 - Phone
- (316) 491-2093
- Fax
- (316) 491-2097
- NPI assigned
- May 5, 2006
- Organization subpart
- No
National Provider Directory
National Provider DirectoryLocations
360 Cain Dr
Haysville, KS 67060
Phone (316) 267-0159
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Alvarez, D.O.
- Title
- President
- Phone
- (316) 491-2093
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Mammography Clinic/Center | 261QR0206X | 236167 | KS | Primary |
Addresses
Primary practice location
2020 N Tyler Rd
Ste. # 114
Wichita, KS 67212-4916
Mailing address
2020 N. Tyler Rd
Ste. # 114
Wichita, KS 67212
Phone (316) 491-2093
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130594 | Other | KS | BCBS KS |
| 500179 | Other | KS | HEALTH PARTNERS OF KS |
| 5510599 | Other | KS | CCN NETWORK |
Other names 1
- Allied Medical Imaging
NPI Registry JSON
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104874510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 N. TYLER RD",
"address_2": "STE. # 114",
"city": "WICHITA",
"state": "KS",
"postal_code": "67212",
"telephone_number": "316-491-2093",
"fax_number": "316-491-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 N TYLER RD",
"address_2": "STE. # 114",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124916",
"telephone_number": "316-491-2093",
"fax_number": "316-491-2097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYSVILLE DIAGNOSTIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-491-2093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "KS",
"license": "236167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KS",
"identifier": "130594",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS OF KS",
"identifier": "500179",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN NETWORK",
"identifier": "5510599",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allied Medical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.