Organization
NORTHLAND RADIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY JENKINS (PRACTICE MANAGER)
(816) 745-1433
Entity
Organization
Contact information
Practice address
2800 CLAY EDWARDS DR, KANSAS CITY, MO 64116-3220
(816) 691-5201
Mailing address
PO BOX 30075, OMAHA, NE 68103-1175
(816) 745-1433
(503) 345-4745
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045747
CMFHP
MO
05
—
200671520A
—
KS
05
—
503618100
—
MO
01
—
5503014
BCBSKC
MO
01
—
CP5297
RR MEDICARE
MO
01
—
MO20204B
BEECHSTREET/MULTIPLAN
MO
Enumeration date
06/18/2006
Last updated
04/20/2026
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