East Ridge Investments LLC

Organization Active NPI Diagnostic Radiology Physician · Raymore, MO

NPI 1962644153 · NPPES record last updated Sep 17, 2009

Key facts

NPI
1962644153
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
EAST RIDGE INVESTMENTS LLC
Practice address
244 Broadmoor Dr
Raymore, MO 64083-9298
Phone
(816) 676-0625
Fax
(816) 676-0627
NPI assigned
Apr 2, 2009
Organization subpart
No

Authorized official

Name
Lasha Dalakishvili
Title
Executive Director
Phone
(816) 676-0625

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X Yes

Addresses

Primary practice location

244 Broadmoor Dr
Raymore, MO 64083-9298

Mailing address

244 Broadmoor Dr
Raymore, MO 64083-9298
Phone (816) 676-0625

Other names

  • Raymore Medical Imaging Doing business as

Other providers in Raymore, MO

All providers in Raymore, MO · Diagnostic Radiology Physician in Missouri

Sources for this page

Verify at the official NPI Registry.