Organization
IMAGING MIRACLES LC
Active
Parent organization
20100328
Other names
Advanced Ultrasound Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
20100328
Authorized official
MRS. TAMMY ROSE COWAN RDMS, RDCS (OWNER)
(417) 861-0071
Entity
Organization
Contact information
Practice address
3827 S TIMBERCREEK AVE, SUITE B, SPRINGFIELD, MO 65807-5685
(417) 861-0071
Mailing address
3827 S TIMBERCREEK AVE, SUITE B, SPRINGFIELD, MO 65807-5685
(417) 861-0071
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LC1048492
MO
Other
Enumeration date
07/30/2010
Last updated
06/30/2014
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