Active NPI
Leavenworth County MRI LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Leavenworth, KS
National Provider Identifier
1922079441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- N/A
- Legal business name
- LEAVENWORTH COUNTY MRI LLC
- Practice address
- 1001 6TH Ave
Suite 120
Leavenworth, KS 66048-3222 - Phone
- (913) 682-1880
- Fax
- (913) 682-1881
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jace D Keller
- Title
- Treasurer
- Phone
- (724) 925-2280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | N/A | Primary |
Addresses
Primary practice location
1001 6TH Ave
Suite 120
Leavenworth, KS 66048-3222
Mailing address
PO Box 450
New Stanton, PA 15672-0450
Phone (724) 925-2330
National Provider Directory
National Provider DirectoryLocations
1001 6th Ave
Ste 120
Leavenworth, KS 66048
Phone (913) 682-1880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922079441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450",
"city": "NEW STANTON",
"state": "PA",
"postal_code": "156720450",
"telephone_number": "724-925-2330",
"fax_number": "724-925-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 6TH AVE",
"address_2": "SUITE 120",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660483222",
"telephone_number": "913-682-1880",
"fax_number": "913-682-1881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAVENWORTH COUNTY MRI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "JACE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "724-925-2280",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
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.