Organization Active NPI

Mid-America Imaging LLC

  • Sonography Radiologic Technologist
  • Lexington, MO
National Provider Identifier
1316099989
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
111323 Issued in MO
Legal business name
MID-AMERICA IMAGING LLC
Practice address
1711 Taylor St
Lexington, MO 64067-1153
Phone
(660) 232-0843
Fax
(660) 259-3363
NPI assigned
Jan 17, 2007
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Sandeep Sharma
Title
Member
Phone
(660) 232-0843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X 111323 MO
Sonography Radiologic Technologist 2471S1302X 111323 MO Primary

Addresses

Primary practice location

1711 Taylor St
Lexington, MO 64067-1153

Mailing address

1711 Taylor St
Lexington, MO 64067-1153
Phone (660) 232-0843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1316099989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 TAYLOR ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671153",
            "telephone_number": "660-232-0843",
            "fax_number": "660-259-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 TAYLOR ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671153",
            "telephone_number": "660-232-0843",
            "fax_number": "660-259-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "660-232-0843"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "MO",
            "license": "111323",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MO",
            "license": "111323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.