Organization
MID-AMERICA X-RAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP SHARMA (MANAGER)
(660) 232-0843
Entity
Organization
Contact information
Practice address
1711 TAYLOR ST., LEXINGTON, MO 64067-1153
(660) 259-3363
(800) 519-4907
Mailing address
1711 TAYLOR ST, LEXINGTON, MO 64067-1153
(660) 259-3363
(800) 519-4907
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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