# WEST CENTRAL MISSOURI DIAGNOSTIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SEDALIA IMAGING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386945665
- **Authorized official:** DOUGLAS W. KIBURZ MD (PRESIDENT)
- **Authorized official phone:** (660) 826-5890

## Contact information

- **Practice address:** 1430 THOMPSON BLVD STE 7, SEDALIA, MO 65301-2209
- **Practice address phone:** (660) 851-0758
- **Practice address fax:** (660) 851-0769
- **Mailing address:** PO BOX 1547, SEDALIA, MO 65302-1547
- **Mailing address phone:** (660) 826-5960
- **Mailing address fax:** (660) 826-4852

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 05/24/2016