Organization
IMAGING FOR WOMEN LLC
Active
Organization
IMAGING FOR WOMEN LLC
Active
Other names
Mark J Malley MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY BLACKETER (ADMINISTRATOR)
(816) 268-3305
Entity
Organization
Contact information
Practice address
630 NW ENGLEWOOD RD, KANSAS CITY, MO 64118-3973
(816) 453-2700
(816) 453-9943
Mailing address
630 NW ENGLEWOOD RD, KANSAS CITY, MO 64118-3973
(816) 453-2700
(816) 453-9943
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36717
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206910119
—
MO
01
—
217588
MAMM CERTIFICATION#
—
01
—
24320015
KCBCBS GROUP ID#
MO
Enumeration date
04/23/2007
Last updated
09/02/2025
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