Organization Active NPI

Haysville Diagnostic Center LLC

  • Mammography Clinic/Center
  • Wichita, KS
National Provider Identifier
1104874510
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
236167 Issued in KS
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 Directory

Locations

360 Cain Dr
Haysville, KS 67060
Phone (316) 267-0159

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130594OtherKSBCBS KS
500179OtherKSHEALTH PARTNERS OF KS
5510599OtherKSCCN NETWORK

Other names 1

  • Allied Medical Imaging Doing business as

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.