Organization Active NPI

Correctional Medical Imaging, Inc.

  • Diagnostic Radiology Physician
  • Jefferson City, MO
National Provider Identifier
1477818698
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CORRECTIONAL MEDICAL IMAGING, INC.
Practice address
2713 Industrial Dr Ste C
Jefferson City, MO 65109-6705
Phone
(573) 634-7155
Fax
(573) 634-3146
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Donald Kent McNutt, D.O.NPI 1114025079
Title
President
Phone
(573) 659-4186

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2713 Industrial Dr Ste C
Jefferson City, MO 65109-6705

Mailing address

2713 Industrial Dr Ste C
Jefferson City, MO 65109-6705
Phone (573) 634-7155

National Provider Directory

National Provider Directory
Tax ID family
Correctional Medical Imaging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2713 Industrial Dr
Ste C
Jefferson Cty, MO 65109
Phone (573) 634-7884

Practitioners & affiliated clinicians

Practitioners 1

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1477818698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 INDUSTRIAL DR STE C",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096705",
            "telephone_number": "573-634-7155",
            "fax_number": "573-634-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 INDUSTRIAL DR STE C",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096705",
            "telephone_number": "573-634-7155",
            "fax_number": "573-634-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL MEDICAL IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-659-4186",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.