Healthcare Provider Details

I. General information

NPI: 1588669766
Provider Name (Legal Business Name): UNITED IMAGING CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 QUIVIRA RD
LENEXA KS
66215-3902
US

IV. Provider business mailing address

9040 QUIVIRA RD
LENEXA KS
66215-3902
US

V. Phone/Fax

Practice location:
  • Phone: 913-944-4900
  • Fax:
Mailing address:
  • Phone: 913-944-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateKS

VIII. Authorized Official

Name: DAVID L SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 913-444-9359