Organization
ST JOSEPH MRI LLC
Active
Other names
Anatomi Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLAN ALLFORD (CEO)
(316) 946-5080
Entity
Organization
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 936-5080
(316) 946-5088
Mailing address
PO BOX 413, ATTENTION: NATALIE WATSON, WICHITA, KS 67201-0413
(316) 946-5080
(316) 946-5088
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
KS
2085N0700X
Neuroradiology Physician
—
KS
2085P0229X
Pediatric Radiology Physician
—
KS
2085R0202X
Diagnostic Radiology Physician
—
KS
2085R0204X
Vascular & Interventional Radiology Physician
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016119
BCBS
KS
05
—
100213570A
—
KS
05
—
100213570B
—
KS
Enumeration date
03/02/2006
Last updated
03/02/2009
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