NPIMap

Organization Active NPI

Imaging Miracles LC

  • Clinic/Center
  • Springfield, MO
National Provider Identifier
1114231305
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
LC1048492 Issued in MO
Legal business name
IMAGING MIRACLES LC
Practice address
3827 S Timbercreek Ave
Suite B
Springfield, MO 65807-5685
Phone
(417) 861-0071
NPI assigned
Jul 30, 2010
Organization subpart
Yes
Parent organization
20100328As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Tammy Rose Cowan, RDMS, RDCS
Title
Owner
Phone
(417) 861-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LC1048492 MO Primary

Addresses

Primary practice location

3827 S Timbercreek Ave
Suite B
Springfield, MO 65807-5685

Mailing address

3827 S Timbercreek Ave
Suite B
Springfield, MO 65807-5685
Phone (417) 861-0071

Other names 1

  • Advanced Ultrasound Solutions Doing business as

National Provider Directory

National Provider Directory
Part of
Imaging Miracles LC

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1114231305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 S TIMBERCREEK AVE",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075685",
            "telephone_number": "417-861-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 S TIMBERCREEK AVE",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075685",
            "telephone_number": "417-861-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING MIRACLES LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "20100328",
        "enumeration_date": "2010-07-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-861-0071",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS, RDCS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "LC1048492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Ultrasound Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.