Organization Name: | BIG BEND IMAGING, LLC |
NPI Number: | 1073522801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY CUNDIFF (MANAGER) |
Mailing Address: | 1001 S Kirkwood Rd Ste 110 Kirkwood |
State: | MO US |
Postal Code: | 631227250 |
Phone Number: | 3148219173 |
Fax Number: | 3148216157 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |