Organization
NATIONAL IMAGING, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL L RODRIGUEZ M.D. (OWNER)
(316) 729-5517
Entity
Organization
Contact information
Practice address
4713 N PORTWEST CIR, WICHITA, KS 67204-2356
(316) 729-5517
(316) 729-5655
Mailing address
4713 N PORTWEST CIR, WICHITA, KS 67204-2356
(316) 729-5517
(316) 729-5655
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-14664
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000111205
KS BCBS GROUP #
KS
05
—
200041060A
—
OK
Enumeration date
01/19/2007
Last updated
10/12/2012
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