Organization Active NPI

Medical Imaging Consultants, P. C.

  • Diagnostic Radiology Physician
  • La Vista, NE
National Provider Identifier
1104961614
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL IMAGING CONSULTANTS, P. C.
Practice address
7950 Harrison St
La Vista, NE 68128-2912
Phone
(402) 592-0711
Fax
(402) 934-9242
NPI assigned
Feb 21, 2007
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Robert M Faulk, M.D.NPI 1497803654
Title
Medical Director
Phone
(402) 592-0711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NE Primary

Addresses

Primary practice location

7950 Harrison St
La Vista, NE 68128-2912

Mailing address

7950 Harrison St
La Vista, NE 68128-2912
Phone (402) 592-0711

National Provider Directory

National Provider Directory

Locations

7950 Harrison St
Lavista, NE 68128
Phone (402) 592-0711

11902 W Center Rd
Ste 200
Omaha, NE 68144
Phone (402) 398-6198

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1104961614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 HARRISON ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282912",
            "telephone_number": "402-592-0711",
            "fax_number": "402-934-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 HARRISON ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282912",
            "telephone_number": "402-592-0711",
            "fax_number": "402-934-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING CONSULTANTS, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "402-592-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.