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Organization
LEAVENWORTH COUNTY MRI LLC
Active
Organization
LEAVENWORTH COUNTY MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACE D KELLER (TREASURER)
(724) 925-2280
Entity
Organization
Contact information
Practice address
1001 6TH AVE, SUITE 120, LEAVENWORTH, KS 66048-3222
(913) 682-1880
(913) 682-1881
Mailing address
PO BOX 450, NEW STANTON, PA 15672-0450
(724) 925-2330
(724) 925-7816
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
N/A
NULL
Other
Enumeration date
02/01/2006
Last updated
08/22/2020
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