Organization
ASCENSION VIA CHRISTI IMAGING WICHITA, LLC
Active
Other names
Ascension Via Christi Imaging Preferred PET
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDIO J FERRARO (ADMINISTRATOR)
(316) 268-8026
Entity
Organization
Contact information
Practice address
825 N EMPORIA ST, WICHITA, KS 67214-3709
(316) 269-1738
(316) 269-1759
Mailing address
PO BOX 47121, WICHITA, KS 67201-7121
(316) 269-1738
(316) 269-1759
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001645
RAILROAD MEDICARE
KS
Enumeration date
02/22/2016
Last updated
11/01/2019
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