# MID-AMERICA X-RAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891984951
- **Authorized official:** SANDEEP SHARMA (MANAGER)
- **Authorized official phone:** (660) 232-0843

## Contact information

- **Practice address:** 1711 TAYLOR ST., LEXINGTON, MO 64067-1153
- **Practice address phone:** (660) 259-3363
- **Practice address fax:** (800) 519-4907
- **Mailing address:** 1711 TAYLOR ST, LEXINGTON, MO 64067-1153
- **Mailing address phone:** (660) 259-3363
- **Mailing address fax:** (800) 519-4907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | — | NULL | Yes |
| 247100000X | Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 10/15/2007