Organization
PRIME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BEARDEN (DIRECTOR CREDENTIALING)
(303) 929-2001
Entity
Organization
Contact information
Practice address
4510 BELLEVIEW AVE STE 102, KANSAS CITY, MO 64111-3538
(785) 608-3676
Mailing address
4510 BELLEVIEW AVE STE 102, KANSAS CITY, MO 64111-3538
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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