NPIMap

Organization Active NPI

Medical Diagnostic Center Associates LP

  • Diagnostic Radiology Physician
  • Independence, MO
National Provider Identifier
1962566000
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL DIAGNOSTIC CENTER ASSOCIATES LP
Practice address
18640 E 38TH Ter S
Independence, MO 64057-2304
Phone
(816) 795-8822
NPI assigned
Dec 21, 2006
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Martin Farrell
Title
Administrator
Phone
(631) 513-9851

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine Physician 207RM1200X NU
Body Imaging Physician 2085B0100X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

18640 E 38TH Ter S
Independence, MO 64057-2304

Mailing address

18640 E 38TH Ter S
Independence, MO 64057-2304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1962566000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18640 E 38TH TER S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18640 E 38TH TER S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572304",
            "telephone_number": "816-795-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC CENTER ASSOCIATES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-513-9851"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.