# FAMILY MEDCENTERS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FMC Diagnostic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104022482
- **Authorized official:** DAVID WAYNE NIEDEREE M.D. (PRESIDENT)
- **Authorized official phone:** (316) 788-6963

## Contact information

- **Practice address:** 1101 N ROCK RD, DERBY, KS 67037-3735
- **Practice address phone:** (316) 788-1134
- **Practice address fax:** (316) 788-5373
- **Mailing address:** 1101 N ROCK RD, DERBY, KS 67037-3735
- **Mailing address phone:** (316) 788-1134
- **Mailing address fax:** (316) 788-5373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 08/22/2020