Organization Active NPI

Line Diagnostics Inc

  • Diagnostic Radiology Physician
  • Wichita, KS
National Provider Identifier
1376507590
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LINE DIAGNOSTICS INC
Practice address
630 S Hillside St
Wichita, KS 67211-2157
Phone
(316) 491-5926
Fax
(316) 491-5962
NPI assigned
Apr 14, 2006
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Lyle F Zepick, MDNPI 1346294808
Title
Doctor
Phone
(316) 491-5926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

630 S Hillside St
Wichita, KS 67211-2157

Mailing address

PO Box 47259
Wichita, KS 67201
Phone (316) 491-5926

Other identifiers 3

IdentifierTypeStateIssuer
100414870AMedicaidKS
110727OtherKSBLUE CROSS BLUE SHIELD OF KANSAS
CJ7951OtherKSRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

9350 E 35th St N
Ste 102
Wichita, KS 67226
Phone (316) 262-3444

Practitioners & affiliated clinicians

Practitioners 4

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": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1376507590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47259",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67201",
            "telephone_number": "316-491-5926",
            "fax_number": "316-491-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112157",
            "telephone_number": "316-491-5926",
            "fax_number": "316-491-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "ZEPICK",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "316-491-5926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100414870A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS",
            "identifier": "110727",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ7951",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.