Organization
ASCENSION VIA CHRISTI IMAGING WICHITA, LLC
Active
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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