Organization · Type 2 NPI
PHS KS Moirai LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Coffeyville, KS
Practice location
1510 Walnut St
Coffeyville, KS 67337-6641
Mailing address
8181 E 46th St
Tulsa, OK 74145-4801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary | 335V00000X | None listed |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the service…
Another provider at this address
Other portable x-ray and/or other portable diagnostic imaging supplier providers in Coffeyville
About NPI 1043005606
PHS KS Moirai LLC's National Provider Identifier is 1043005606, issued on Apr 14, 2025. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Coffeyville, KS. The record was last updated on Apr 22, 2026.