Imaging Miracles Lc

NPI 1114231305 - Clinic/Center - 261Q00000X

NPI Details
NPI 1114231305
Enumeration Date 07/30/2010
Last Updated 06/30/2014
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TAMMY ROSE TAMMY
Position OWNER
Phone (417) 861-0071
Fax
Practice Location
3827 S TIMBERCREEK AVE
SUITE B
SPRINGFIELD MO, 65807-5685, US
Phone (417) 861-0071
Fax
Business Location
3827 S TIMBERCREEK AVE
SUITE B
SPRINGFIELD MO, 65807-5685, US
Phone (417) 861-0071
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Missouri
License Number LC1048492
Remove 1114231305 NPI Number
 

According to our database, Imaging Miracles Lc NPI is 1114231305, taxonomy code is 261Q00000X and license number is LC1048492, license state is located at Missouri. Imaging Miracles Lc physically located at 3827 S Timbercreek Ave, Springfield MO, 65807-5685. NPI Number 1033115704 has the healthcare provider type.

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1114231305 NPI number is provided on an as is basis without warranty of any kind. 1114231305 is maintained by the National Plan & Provider Enumeration System. The contents of Imaging Miracles Lc are for informational purposes only.