Organization Active NPI

Leavenworth County MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Leavenworth, KS
National Provider Identifier
1922079441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.