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Organization
MEDICAL ARTS DIAGNOSTIC CENTER, LLC
Active
Organization
MEDICAL ARTS DIAGNOSTIC CENTER, LLC
Active
Parent organization
MEDICAL ARTS DIAGNOSTIC CENTER, LLC
Other names
Medical Arts Diagnostic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ARTS DIAGNOSTIC CENTER, LLC
Authorized official
MRS. BRENDA HILDYARD (ADMINISTRATOR)
(785) 462-3332
Entity
Organization
Contact information
Practice address
175 SOUTH RANGE, SUITE 2, COLBY, KS 67701-0001
(785) 462-3332
(785) 462-3337
Mailing address
175 SOUTH RANGE, SUITE 2, COLBY, KS 67701-0001
(785) 462-3332
(785) 462-3337
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
KS
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643310B
—
KS
Enumeration date
12/28/2006
Last updated
07/23/2009
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