# TRI-LAKES DIAGNOSTIC IMAGING, LLC

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

## Provider details

- **NPI number:** 1932378197
- **Authorized official:** MRS. KRIS CRUTCHER ARRT,R,M (PRESIDENT)
- **Authorized official phone:** (417) 739-9110

## Contact information

- **Practice address:** 523 STATE HIGHWAY 248, BRANSON, MO 65616-7740
- **Practice address phone:** (417) 332-2152
- **Practice address fax:** (417) 332-0443
- **Mailing address:** 523 STATE HIGHWAY 248, SUITE 300, BRANSON, MO 65616-7740
- **Mailing address phone:** (417) 739-9110
- **Mailing address fax:** (417) 739-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 08/16/2010
