NPIMap

Organization Active NPI

Medical Arts Diagnostic Center, LLC

  • Radiologic Technologist
  • Colby, KS
National Provider Identifier
1457417065
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
MEDICAL ARTS DIAGNOSTIC CENTER, LLC
Practice address
175 South Range
Suite 2
Colby, KS 67701-0001
Phone
(785) 462-3332
Fax
(785) 462-3337
NPI assigned
Dec 28, 2006
Organization subpart
Yes
Parent organization
MEDICAL ARTS DIAGNOSTIC CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Mrs. Brenda Hildyard
Title
Administrator
Phone
(785) 462-3332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247100000X KS
Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

175 South Range
Suite 2
Colby, KS 67701-0001

Mailing address

175 South Range
Suite 2
Colby, KS 67701-0001
Phone (785) 462-3332

Other identifiers 1

IdentifierTypeStateIssuer
100643310BMedicaidKS

Other names 1

  • Medical Arts Diagnostic Other name

National Provider Directory

National Provider Directory
Part of
Medical Arts Diagnostics

Locations

175 S Range Ave
Ste 2
Colby, KS 67701
Phone (785) 462-3332

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1457417065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SOUTH RANGE",
            "address_2": "SUITE 2",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677010001",
            "telephone_number": "785-462-3332",
            "fax_number": "785-462-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SOUTH RANGE",
            "address_2": "SUITE 2",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677010001",
            "telephone_number": "785-462-3332",
            "fax_number": "785-462-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ARTS DIAGNOSTIC CENTER, LLC",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "HILDYARD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-462-3332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100643310B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Diagnostic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.