# ZIVA MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ZIVAMED IDTF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063280170
- **Authorized official:** AMANDA SHURTZ (CEO)
- **Authorized official phone:** (573) 570-3519

## Contact information

- **Practice address:** 620 E MONROE ST STE 1100, MEXICO, MO 65265-2919
- **Practice address phone:** (573) 570-3519
- **Mailing address:** 620 E MONROE ST STE 1100, MEXICO, MO 65265-2919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 293D00000X | Physiological Laboratory | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 12/18/2023