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Organization
NORTHLAND IMAGING, LLC
Active
Organization
NORTHLAND IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS DEGENNARO (PRESIDENT)
(816) 853-8667
Entity
Organization
Contact information
Practice address
5500 N OAK TRFY, KANSAS CITY, MO 64118-4628
(814) 452-4674
Mailing address
5500 N OAK TRFY, KANSAS CITY, MO 64118-4628
(814) 452-4674
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/12/2007
Last updated
12/22/2011
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