Organization
MIDWEST IMAGING CENTER II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY E BOOTS II (MM)
(573) 315-9109
Entity
Organization
Contact information
Practice address
20 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 436-6736
Mailing address
600 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 760-1674
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
10/06/2021
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