Organization
REGIONAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE WILSON MD (MEDICAL DIRECTOR)
(913) 338-3344
Entity
Organization
Contact information
Practice address
8000 COLLEGE BLVD, OVERLAND PARK, KS 66210-1822
(913) 338-3344
(913) 338-5352
Mailing address
8000 COLLEGE BLVD, OVERLAND PARK, KS 66210-1822
(913) 338-3344
(913) 338-5352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200407740A
—
KS
01
—
36639011
BLUE CROSS OF KANSAS CITY
—
Enumeration date
04/11/2006
Last updated
01/03/2012
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