Ozark Mobile Imaging LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

OZARK MOBILE IMAGING LLC

Practice address

2012 Cherry Hill Dr
Suite 202E
Columbia, MO 65203-5882

Phone

(816) 232-2727

Fax

(816) 232-2771

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Zachary B Evans

Title

Member

Phone

(816) 232-2727

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1336101856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063418",
            "telephone_number": "816-232-2727",
            "fax_number": "816-232-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR",
            "address_2": "SUITE 202E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "816-232-2727",
            "fax_number": "816-232-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-232-2727"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "716090808",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE AREA 99",
            "identifier": "000040062",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE KS STATEWIDE",
            "identifier": "388930",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200347870",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00060615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Elaine Owens
• Oluwasayo Johnette Owolabi, MD
• Patrick Oxford, PHARMD
• Anicka Oyen
• Ozark Chiropractic Clinic, P.C.
• Alicia J Ozenberger, M.ED.
• Scott Andrew Paalhar, PHARMD
• Kendra Rae Paasch
• Katilyn Brooke Pabst, COTA/L
• Luis Pacheco Pares, MD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Columbia, MO
• Providers in Columbia, MO by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.