Organization
STATE LINE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS S SAMUELSON M.D. (PRESIDENT)
(816) 444-9000
Entity
Organization
Contact information
Practice address
8700 STATE LINE RD, STE 160, LEAWOOD, KS 66206-1569
(913) 648-9500
(913) 648-9501
Mailing address
PO BOX 802779, KANSAS CITY, MO 64180-0001
(913) 648-9500
(913) 648-9501
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
Other
Enumeration date
01/27/2006
Last updated
09/11/2025
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