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Organization

MR IMAGING CENTER LLC

Active
Other names
Anatomi Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT ALLAN ALLFORD (CEO)
(316) 946-5080
Entity
Organization

Contact information

Practice address
928 N SAINT FRANCIS ST, WICHITA, KS 67214-3822
(316) 946-5080
(316) 946-5088
Mailing address
PO BOX 48123, ATTEN: NATALIE WATSON, WICHITA, KS 67201-8123
(316) 946-5080
(316) 946-5088

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004223
BCBS
KS
05
100245720A
KS
Enumeration date
03/02/2006
Last updated
03/19/2009
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