Ancillary Medical Consultants, LLC

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

Legal business name

ANCILLARY MEDICAL CONSULTANTS, LLC

Practice address

303 S Nappanee St
Elkhart, IN 46514-2066

Phone

(574) 296-3200

Fax

(574) 296-3936

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary Rob Kirk

Title

Member

Phone

(330) 491-1490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821094178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 FULTON DR NW",
            "address_2": "STE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182819",
            "telephone_number": "330-491-1490",
            "fax_number": "330-491-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142066",
            "telephone_number": "574-296-3200",
            "fax_number": "574-296-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCILLARY MEDICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-491-1490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Radiologic Technologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.