| Organization Name: | EKA IMAGING, LLC |
| NPI Number: | 1083040125 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EARL BLAIR MAES (PRESIDENT) |
| Mailing Address: | 3050 N 20th St Ozark |
| State: | MO US |
| Postal Code: | 657215925 |
| Phone Number: | 4175514900 |
| Fax Number: | 4175514852 |
| NPI Enumeration Date: | 09/20/2013 |
| NPI Last Update Date: | 09/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |