MEDICARE: DIAGNOSTIC IMAGING CENTERS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center		MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CI3618	OTHER	MO	RAILROAD MEDICARE- GROUP

General Provider Information

NPI Number	:	1497828222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC IMAGING CENTERS, P.A.

Provider Business Mailing Address
First Line	:	6650 W 110TH ST
Second Line	:	SUITE 200
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211
Country	:	US
Telephone Number	:	913-319-8400
Fax Number	:	913-696-0040

Provider Business Practice Location Address
First Line	:	4801 MAIN ST STE 200
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-2582
Country	:	US
Telephone Number	:	816-561-5151
Fax Number	:	816-841-0373

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JENNIFER CRAWLEY
Credential	:	MD
Telephone Number	:	913-319-8400

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	11/15/2019

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