Organization
ADVANCED MEDICAL IMAGING - TALLGRASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN L BURKE (COO)
(877) 502-1209
Entity
Organization
Contact information
Practice address
6001 SW 6TH AVE, TOPEKA, KS 66615-1004
(785) 271-2250
(785) 271-2253
Mailing address
PO BOX 781838, WICHITA, KS 67278-1838
(877) 502-1209
(877) 219-2990
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111005
BLUE CROSS BLUE SHIELD
KS
01
—
416240
FIRSTGUARD
KS
01
—
500000
HEALTH PARTNERS OF KANSAS
KS
01
—
P00158322
PALMETTO
KS
Enumeration date
06/24/2006
Last updated
08/22/2020
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