Organization
JOHNSON COUNTY IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MILLER MD (OWNER)
(913) 599-6777
Entity
Organization
Contact information
Practice address
11717 W 112TH ST, OVERLAND PARK, KS 66210-2761
(913) 469-8998
Mailing address
11717 W 112TH ST, OVERLAND PARK, KS 66210-2761
(913) 469-8998
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204610A
—
KS
01
—
CS2471
RR MEDICARE
—
Enumeration date
01/05/2007
Last updated
01/19/2026
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