Organization
MISSOURI IMAGING, INC
Active
Other names
Cape Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
3065 WILLIAM ST, SUITE 109, CAPE GIRARDEAU, MO 63703-6393
(573) 332-8300
(573) 332-8383
Mailing address
PO BOX 934995, ATLANTA, GA 31193-4995
(866) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154189
BCBS
MO
01
—
470000936
MEDICARE RAILROAD
—
05
—
717256804
—
MO
01
—
7840082
AETNA
—
Enumeration date
05/03/2006
Last updated
07/11/2013
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