Organization Active NPI

State Line Imaging LLC

  • Bone Densitometry Radiologic Technologist
  • Leawood, KS
National Provider Identifier
1316918501
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Bone Densitometry Radiologic TechnologistTaxonomy code 2471B0102X
Legal business name
STATE LINE IMAGING LLC
Practice address
8700 State Line Rd
Ste 160
Leawood, KS 66206-1569
Phone
(913) 648-9500
Fax
(913) 648-9501
NPI assigned
Jan 27, 2006
Organization subpart
No

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. Thomas S Samuelson, M.D.
Title
President
Phone
(816) 444-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Bone Densitometry Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471B0102X Primary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X

Addresses

Primary practice location

8700 State Line Rd
Ste 160
Leawood, KS 66206-1569

Mailing address

PO Box 802779
Kansas City, MO 64180-0001
Phone (913) 648-9500

National Provider Directory

National Provider Directory

Locations

8700 State Line Rd
Ste 160
Leawood, KS 66206
Phone (913) 648-9500

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316918501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802779",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800001",
            "telephone_number": "913-648-9500",
            "fax_number": "913-648-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 STATE LINE RD",
            "address_2": "STE 160",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061569",
            "telephone_number": "913-648-9500",
            "fax_number": "913-648-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE LINE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-444-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471B0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, 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.