Organization Active NPI

Raymore Medical Imaging Inc

  • Diagnostic Radiology Physician
  • Raymore, MO
National Provider Identifier
1811210206
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RAYMORE MEDICAL IMAGING INC
Practice address
244 Broadmoor Dr
Raymore, MO 64083-9298
Phone
(816) 331-6100
Fax
(816) 331-8315
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Lasha Dalakishvili
Title
Coo
Phone
(816) 244-8132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

244 Broadmoor Dr
Raymore, MO 64083-9298

Mailing address

244 Broadmoor Dr
Raymore, MO 64083-9298
Phone (816) 331-6100

National Provider Directory

National Provider Directory

Locations

244 Broadmoor Dr
Raymore, MO 64083
Phone (816) 331-6100

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1811210206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BROADMOOR DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839298",
            "telephone_number": "816-331-6100",
            "fax_number": "816-331-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 BROADMOOR DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839298",
            "telephone_number": "816-331-6100",
            "fax_number": "816-331-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMORE MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "DALAKISHVILI",
        "authorized_official_first_name": "LASHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "816-244-8132"
    },
    "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 Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.