Midwest Cardiovascular Ultrasound Services, LLC

Key facts

NPI: 1508993379
Entity type: Organization (NPI type 2)
Primary specialty: Contractor 171W00000X
Legal business name: MIDWEST CARDIOVASCULAR ULTRASOUND SERVICES, LLC
Practice address: 1700 S Campbell Ave Ste J
Springfield, MO 65807-2000
Phone: (417) 719-4026
Fax: (833) 792-4156
NPI assigned: Feb 27, 2007
Organization subpart: No

Authorized official

Name: Kevin Scott NPI 1093332421
Title: Owner
Phone: (417) 209-5700

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Kevin G Scott, MBA, RDCS, RVT Sonography Specialist/Technologist Cardiovascular · Lebanon, MO · NPI 1093332421

NPD Authorized official
Henry G. Stratmann Jr., MD Cardiovascular Disease Physician · Springfield, MO · NPI 1730278664

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
26D1101102	Midwest Cardiovascular Ultrasound, LLC 1700 South Campbell, Ste J, Springfield, MO 65807	Certificate of waiver	Jun 18, 2027

National Provider Directory

Locations

639 S Washington Ave
#A
Lebanon, MO 65536
Phone (417) 209-3785

1700 S Campbell Ave
Ste J
Springfield, MO 65807
Phone (417) 719-4026

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Contractor Group: 193400000X SINGLE SPECIALTY GROUP	171W00000X			Yes
Physiological Laboratory	293D00000X

Addresses

Primary practice location

1700 S Campbell Ave Ste J
Springfield, MO 65807-2000

Mailing address

1700 S Campbell Ave Ste J
Springfield, MO 65807-2000
Phone (417) 209-5700

Other practice location 1

639A S Washington Ave
Lebanon, MO 65536-3618
Phone (417) 209-3785

Other providers in Springfield, MO

All providers in Springfield, MO · Contractor in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.