Healthcare Provider Details

I. General information

NPI: 1285888784
Provider Name (Legal Business Name): ADVANCED IMAGING PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 CLEVELAND ST
GREAT BEND KS
67530-3562
US

IV. Provider business mailing address

508 CLEVELAND ST
GREAT BEND KS
67530-3562
US

V. Phone/Fax

Practice location:
  • Phone: 620-792-7300
  • Fax:
Mailing address:
  • Phone: 620-792-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PAMELA CHAMBERS
Title or Position: ADMINISTRATOR
Credential:
Phone: 620-792-7300