Organization
ST JOSEPH MRI LLC
Active
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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