Organization
EAST RIDGE INVESTMENTS LLC
Active
Organization
EAST RIDGE INVESTMENTS LLC
Active
Other names
Raymore Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
LASHA DALAKISHVILI (EXECUTIVE DIRECTOR)
(816) 676-0625
Entity
Organization
Contact information
Practice address
244 BROADMOOR DR, RAYMORE, MO 64083-9298
(816) 676-0625
(816) 676-0627
Mailing address
244 BROADMOOR DR, RAYMORE, MO 64083-9298
(816) 676-0625
(816) 676-0627
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
09/17/2009
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