Organization Active NPI

Dalcor Inc

Doing business as Midwest Cancer Screening

  • Clinical Medical Laboratory
  • Springfield, MO
National Provider Identifier
1508874595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DALCOR INC
Doing business as
Midwest Cancer Screening
Practice address
1936 E Sunshine
Ste E
Springfield, MO 65804
Phone
(417) 889-6644
Fax
(417) 889-9095
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dallas W Johnson, PHD
Title
President
Phone
(417) 889-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MO Primary

Addresses

Primary practice location

1936 E Sunshine
Ste E
Springfield, MO 65804

Mailing address

1936 E Sunshine
Ste E
Springfield, MO 65804
Phone (417) 889-6644

Other names 1

  • Midwest Cancer Screening Doing business as

National Provider Directory

National Provider Directory

Locations

1936 E Sunshine St
Ste B
Springfield, MO 65804
Phone (417) 812-7576

1936 E Sunshine St
Ste E
Springfield, MO 65804
Phone (417) 889-6644

Practitioners & affiliated clinicians

Practitioners 1

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508874595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 E SUNSHINE",
            "address_2": "STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-889-6644",
            "fax_number": "417-889-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 E SUNSHINE",
            "address_2": "STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-889-6644",
            "fax_number": "417-889-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALCOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-889-6644",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Cancer Screening",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.