Organization
MEDICAL PLAZA IMAGING ASSOCIATES, LLC
Active
Other names
St. Luke's Outpatient Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M NACHTIGAL (CFO)
(816) 932-3318
Entity
Organization
Contact information
Practice address
4321 WASHINGTON ST, STE. 1400, KANSAS CITY, MO 64111-5961
(816) 502-8782
Mailing address
4321 WASHINGTON ST, STE. 1400, KANSAS CITY, MO 64111-5961
(816) 561-5858
(816) 561-3740
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216390A
—
KS
05
—
506786003
—
MO
Enumeration date
11/29/2006
Last updated
09/25/2019
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