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1275553067 NPI number — MISSOURI VALLEY RADIOLOGY LLC

NPI Number: 1275553067
Health Care Provider/Practitioner: MISSOURI VALLEY RADIOLOGY LLC

Information about “1275553067” NPI (MISSOURI VALLEY RADIOLOGY LLC) exists in 1275553067 in HTML format HTML  |  1275553067 in plain Text format TXT  |  1275553067 in PDF (Portable Document Format) PDF  |  1275553067 in an XML format XML  formats.

NPI Number : 1275553067 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275553067",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MISSOURI VALLEY RADIOLOGY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1601 N HARRISON AVE STE 1B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PIERRE",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57501-2376",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-945-1371",
    "MailingAddressFaxNumber": "605-945-3237",
    "FirstLinePracticeLocationAddress": "800 E DAKOTA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PIERRE",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57501-3313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-224-3199",
    "PracticeLocationAddressFaxNumber": "605-945-3237",
    "EnumerationDate": "07/21/2006",
    "LastUpdateDate": "02/21/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MONFORE",
    "AuthorizedOfficialFirstName": "BARRY",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "OWNER AND PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "605-224-3199",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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