Organization
MEDICAL DIAGNOSTIC CENTER ASSOCIATES LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN FARRELL (ADMINISTRATOR)
(631) 513-9851
Entity
Organization
Contact information
Practice address
18640 E 38TH TER S, INDEPENDENCE, MO 64057-2304
(816) 795-8822
Mailing address
18640 E 38TH TER S, INDEPENDENCE, MO 64057-2304
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
06/30/2009
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