Organization · Type 2 NPI

Correctional Medical Imaging, Inc.

Diagnostic Radiology Physician · Jefferson City, MO

NPI number 1487012142 Active

Practice location

1001 Southwest Blvd Ste C
Jefferson City, MO 65109-2501

Fax (573) 634-3349

Mailing address

2713 Industrial Dr Ste A
Jefferson City, MO 65109-6705

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XR7J08 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1487012142

Correctional Medical Imaging, Inc.'s National Provider Identifier is 1487012142, issued on Feb 9, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jefferson City, MO. The record was last updated on Feb 9, 2016.