Capital Region Physicians - Radiology

LBN: Capital Region Medical Center
Capital Region Physicians - Radiology is an health care organization with primary practice located at 1125 Madison St , Jefferson City MO 65102-5227. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 632-5000, or through Luebbering, Tom via phone (573) 632-5100.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65102-5227
Fax: (573) 632-5876
Website:
Authorized official contact:
Name: Luebbering, Tom

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1700043791
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - Radiology
Authorized official Luebbering, Tom
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated Aug 23rd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700043791 NPPES
Missouri MEDICAID 507398006

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