Correctional Medical Imaging, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R7J08 Issued in MO

Legal business name

CORRECTIONAL MEDICAL IMAGING, INC.

Practice address

1001 Southwest Blvd Ste C
Jefferson City, MO 65109-2501

Phone

(573) 634-7155

Fax

(573) 634-3349

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald K McNutt, D.O.

Title

President

Phone

(573) 659-4186

Specialties & licenses 1

Addresses

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.

• Correctional Medical Imaging, Inc.

  • Diagnostic Radiology Physician
  • Jefferson City, MO
  • NPI 1477818698
  NPD tax ID

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1487012142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 INDUSTRIAL DR STE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096705",
            "telephone_number": "573-634-7155",
            "fax_number": "573-634-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTHWEST BLVD STE C",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092501",
            "telephone_number": "573-634-7155",
            "fax_number": "573-634-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL MEDICAL IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-659-4186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R7J08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alan Corbett, RN, FNP
• Corbin Marchack DDS PC
• Corizon Health
• Cornerstone Caregiving East LLC
• Correctional Medical Imaging, Inc.
• Delia Silverio Costa, MD
• Elizabeth Christine Costello, COTA
• Erin Couch, LMSW
• County of Cole (Cole County Emergency Medical Services)
• County of Cole (Cole County Health Department)

• Diagnostic Radiology Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.