Organization
RAYMORE MEDICAL IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHA DALAKISHVILI (COO)
(816) 244-8132
Entity
Organization
Contact information
Practice address
244 BROADMOOR DR, RAYMORE, MO 64083-9298
(816) 331-6100
(816) 331-8315
Mailing address
244 BROADMOOR DR, RAYMORE, MO 64083-9298
(816) 331-6100
(816) 331-8315
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
06/23/2010
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