Organization
G I D HOLDINGS, INC
Active
Other names
GI Diagnostics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE ROBERTS (OFFICE MANAGER)
(816) 561-2000
Entity
Organization
Contact information
Practice address
4321 WASHINGTON ST, SUITE 5700, KANSAS CITY, MO 64111-5961
(816) 561-2000
Mailing address
4321 WASHINGTON ST, SUITE 5700, KANSAS CITY, MO 64111-5961
(816) 561-2000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-16
STATE LICENSE
MO
Enumeration date
10/04/2006
Last updated
11/06/2009
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