Healthcare Provider Details

I. General information

NPI: 1497828222
Provider Name (Legal Business Name): DIAGNOSTIC IMAGING CENTERS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 MAIN ST STE 200
KANSAS CITY MO
64112-2582
US

IV. Provider business mailing address

6650 W 110TH ST SUITE 200
OVERLAND PARK KS
66211
US

V. Phone/Fax

Practice location:
  • Phone: 816-561-5151
  • Fax: 816-841-0373
Mailing address:
  • Phone: 913-319-8400
  • Fax: 913-696-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StateMO

VIII. Authorized Official

Name: JENNIFER CRAWLEY
Title or Position: PRESIDENT
Credential: MD
Phone: 913-319-8400