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Organization

AMS DIAGNOSTICS, LLC

Active
Other names
Anatomi Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN CLARK M.D. (CEO)
(316) 268-6780
Entity
Organization

Contact information

Practice address
1035 N EMPORIA ST, SUITE 215, WICHITA, KS 67214-2944
(316) 268-6780
(316) 269-1796
Mailing address
1035 N EMPORIA ST, SUITE 215, WICHITA, KS 67214-2944
(316) 268-6780
(316) 269-1796

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
KS
2085N0700X
Neuroradiology Physician
KS
2085N0904X
Nuclear Radiology Physician
KS
2085P0229X
Pediatric Radiology Physician
KS
2085R0202X
Diagnostic Radiology Physician
KS
2085R0203X
Therapeutic Radiology Physician
KS
2085R0204X
Vascular & Interventional Radiology Physician
KS
2085U0001X
Diagnostic Ultrasound Physician
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110558
BCBS
KS
Enumeration date
03/02/2006
Last updated
09/11/2025
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