Healthcare Provider Details

I. General information

NPI: 1528169752
Provider Name (Legal Business Name): MIDWEST RADIOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 E. MEYER BLVD. RESEARCH MEDICAL CENTER RADIOLOGY DEPT
KANSAS CITY MO
64132-1136
US

IV. Provider business mailing address

P.O. BOX 802813 MIDWEST RADIOLOGY INC
KANSAS CITY MO
64180-2813
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-4000
  • Fax:
Mailing address:
  • Phone: 913-491-0413
  • Fax: 913-491-0411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PATRICK SWEENEY
Title or Position: PARTNER
Credential: M.D.
Phone: 816-276-4141