Organization
MIDWEST MEDICAL IMAGING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS S FORREST MD (PRESIDENT)
(402) 572-3131
Entity
Organization
Contact information
Practice address
MIDWEST MEDICAL IMAGING CENTER, 6901 NORTH 72ND STREET, OMAHA, NE 68122
(402) 572-3131
(402) 572-3661
Mailing address
1715 DEER TRACKS TRL, SAINT LOUIS, MO 63131-1839
(314) 821-5600
(314) 821-2189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231183
—
IA
Enumeration date
11/07/2006
Last updated
04/20/2008
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