Organization
ZIVA MEDICAL AUDRAIN LLC
Active
Organization
ZIVA MEDICAL AUDRAIN LLC
Active
Parent organization
ZIVA MEDICAL AUDRAIN LLC
Other names
ZIVAMED IMAGING
Organization subpart
Yes
Provider details
NPI number
Legal business name
ZIVA MEDICAL AUDRAIN LLC
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3555
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 570-3519
(573) 675-6040
Mailing address
PO BOX 197, LAKEWOOD, NJ 08701-0197
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
09/22/2023
Last updated
11/06/2023
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