Tri-Lakes Mobile Ultrasound Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

27998 Issued in MO

Legal business name

TRI-LAKES MOBILE ULTRASOUND INC.

Practice address

5273 S Aaron Ave
Springfield, MO 65810-2879

Phone

(417) 350-8100

Fax

(417) 823-0464

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Ann Rogers, RDMS,RVT,RDCSNPI 1295981389

Title

Owner/Operator

Phone

(417) 350-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kathleen A Rogers, RDMS

  • Radiologic Technologist
  • Springfield, MO
  • NPI 1295981389
  NPD (past) Authorized official

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1669613451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5273 S AARON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102879",
            "telephone_number": "417-350-8100",
            "fax_number": "417-823-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5273 S AARON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102879",
            "telephone_number": "417-350-8100",
            "fax_number": "417-823-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LAKES MOBILE ULTRASOUND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "417-350-8100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS,RVT,RDCS"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MO",
            "license": "27998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Tree
• Trent a Wilkinson DMD PC
• September Katharine Trent, PLPC
• Ilya Treskov, MD
• Amanda Lee Trevino, FNP
• Jamie N Tribo, M.D.
• Angelique Francesca Trigueros, PHD, M.S., CCC-SLP
• Curt Trimmell
• Peter J Trinca, MD
• Trinity Healthcare PC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Springfield, MO
• Providers in Springfield, MO by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.