Mirage Imaging Llc

LBN: Mirage Imaging Llc
Mirage Imaging Llc is an health care organization with primary practice located at 1818 E 23Rd Ave , Hutchinson KS 67502-1106. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Mirage Imaging Llc can be contacted via phone (620) 663-4800, or through Funk, Gordon via phone (620) 663-4800.

Contact Information

Primary practice address
1818 E 23Rd Ave Hutchinson KS 67502-1106
Phone: (620) 663-4800
Fax: (620) 663-4803
Website:
Map and Directions
Authorized official contact:
Name: Funk, Gordon
Phone: (620) 663-4800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1992729487
LBN Legal business name Mirage Imaging Llc
DBA Doing business as
Authorized official Funk, Gordon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1992729487 NPPES
Kansas Other 111244 BCBS PROVIDER NO.

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