Organization
MRI OF SPRINGFIELD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY E BOOTS II (VP)
(573) 315-9109
Entity
Organization
Contact information
Practice address
1420 E BRADFORD PKWY, SPRINGFIELD, MO 65804-6563
(417) 885-1100
(417) 885-1109
Mailing address
1420 E BRADFORD PKWY, SPRINGFIELD, MO 65804-6563
(417) 885-1100
(417) 885-1109
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714637501
—
MO
Enumeration date
10/27/2006
Last updated
06/22/2023
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