Organization
MID-AMERICA IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP SHARMA (MEMBER)
(660) 232-0843
Entity
Organization
Contact information
Practice address
1711 TAYLOR ST, LEXINGTON, MO 64067-1153
(660) 232-0843
(660) 259-3363
Mailing address
1711 TAYLOR ST, LEXINGTON, MO 64067-1153
(660) 232-0843
(660) 259-3363
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
111323
MO
2471S1302X
Sonography Radiologic Technologist
Primary
111323
MO
Other
Enumeration date
01/17/2007
Last updated
11/12/2013
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