Organization
TOIC, LLC
Active
Other names
THOUSAND OAKS IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD JOSEPH JR. (CEO)
(417) 626-0072
Entity
Organization
Contact information
Practice address
1905 W 32ND ST, SUITE 106, JOPLIN, MO 64804-1529
(417) 626-0072
(417) 626-0919
Mailing address
1905 W 32ND ST, SUITE 106, JOPLIN, MO 64804-1529
(417) 626-0072
(417) 626-0919
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186482
BLUE CROSS
MO
05
—
200039560B
—
OK
05
—
200278080A
—
KS
05
—
716169800
—
MO
Enumeration date
02/13/2007
Last updated
07/23/2008
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