NPIMap

Organization Active NPI

Garden City Diagnostics LLC

  • Specialist
  • Garden City, KS
National Provider Identifier
1972533701
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GARDEN CITY DIAGNOSTICS LLC
Practice address
1808 Palace Dr
Suite a
Garden City, KS 67846-6266
Phone
(620) 275-1865
Fax
(620) 275-1517
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Alexander B Neel, MD
Title
Owner
Phone
(620) 275-1865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X KS Primary

Addresses

Primary practice location

1808 Palace Dr
Suite a
Garden City, KS 67846-6266

Mailing address

1808 Palace Drive
Suite a
Garden City, KS 67846
Phone (620) 275-1865

Other identifiers 1

IdentifierTypeStateIssuer
200373330AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070120000098 KS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1153322003 Practice locations: Garden City, KS

National Provider Directory

National Provider Directory

Locations

1808 Palace Dr
Ste A
Garden City, KS 67846
Phone (620) 275-1864

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1972533701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 PALACE DRIVE",
            "address_2": "SUITE A",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-275-1865",
            "fax_number": "620-275-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 PALACE DR",
            "address_2": "SUITE A",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466266",
            "telephone_number": "620-275-1865",
            "fax_number": "620-275-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "NEEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-275-1865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200373330A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.