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Organization

DIGITAL RADIOLOGY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALAN L BURKE (CEO)
(316) 832-1442
Entity
Organization

Contact information

Practice address
2021 N AMIDON AVE, SUITE 13, WICHITA, KS 67203-2100
(316) 832-1442
(316) 219-2990
Mailing address
PO BOX 1179, WICHITA, KS 67201-1179
(316) 832-1442
(316) 219-2990

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110948
BLUE CROSS BLUE SHIELD
KS
05
200251060A
KS
Enumeration date
07/10/2006
Last updated
07/29/2014
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