Organization Active NPI

Leavenworth-Kansas City Imaging, PA

  • Diagnostic Radiology Physician
  • Kansas City, KS
National Provider Identifier
1265516280
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LEAVENWORTH-KANSAS CITY IMAGING, PA
Practice address
9201 Parallel Pkwy
Kansas City, KS 66112-1528
Phone
(913) 334-4110
Fax
(913) 334-9007
NPI assigned
Oct 25, 2006
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Jeffrey L Borders, M.D.NPI 1346248721
Title
Vice-President
Phone
(913) 334-4110

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 NU Primary

Addresses

Primary practice location

9201 Parallel Pkwy
Kansas City, KS 66112-1528

Mailing address

9201 Parallel Pkwy
Kansas City, KS 66112-1528
Phone (913) 334-4110

Other identifiers 1

IdentifierTypeStateIssuer
2024207601MedicaidKS

National Provider Directory

National Provider Directory

Locations

9201 Parallel Pkwy
Ste 2
Kansas City, KS 66112
Phone (913) 334-4110

3400 S 4th St
Leavenworth, KS 66048
Phone (913) 334-4110

Practitioners & affiliated clinicians

Practitioners 2

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1265516280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121528",
            "telephone_number": "913-334-4110",
            "fax_number": "913-334-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121528",
            "telephone_number": "913-334-4110",
            "fax_number": "913-334-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVENWORTH-KANSAS CITY IMAGING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "913-334-4110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024207601",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.