Organization Name: | MEDICAL ARTS DIAGNOSTIC CENTER, LLC |
NPI Number: | 1457417065 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA HILDYARD (ADMINISTRATOR) |
Mailing Address: | 175 South Range Suite 2 Colby |
State: | KS US |
Postal Code: | 677010001 |
Phone Number: | 7854623332 |
Fax Number: | 7854623337 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |