West Central Missouri Diagnostic

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WEST CENTRAL MISSOURI DIAGNOSTIC

Practice address

1430 Thompson Blvd Ste 7
Sedalia, MO 65301-2209

Phone

(660) 851-0758

Fax

(660) 851-0769

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Douglas W. Kiburz, MD

Title

President

Phone

(660) 826-5890

Specialties & licenses 1

Addresses

Other names 1

• SEDALIA IMAGING CENTER Doing business as

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1386945665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 THOMPSON BLVD STE 7",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012209",
            "telephone_number": "660-851-0758",
            "fax_number": "660-851-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL MISSOURI DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "KIBURZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-826-5890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEDALIA IMAGING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Conrad Walley
• Tanja Walton
• Mary B Watkins, SPEECH
• Trendon Thomas Jennings Watson, PHARMD
• West Central Missouri Orthopaedic Surgical Serivces P.C.
• Warren Eugene Weston, MD
• Murray V. Whitehead, D.D.S.
• Brittni Lynn Wilken
• John N Willadsen, LPC

• All providers in Sedalia, MO
• Radiology Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.