Organization
MIDWEST OPEN MRI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HENLEY III (AUTHORIZED OFFICIAL)
(816) 478-4422
Entity
Organization
Contact information
Practice address
17020 E 40 HWY #4, INDEPENDENCE, MO 64055-5361
(816) 478-4422
(816) 478-7773
Mailing address
PO BOX 413022, KANSAS CITY, MO 64141-3022
(913) 234-1494
(913) 234-1116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200308440A
—
KS
Enumeration date
03/21/2006
Last updated
02/04/2013
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