Provider Demographics
NPI:1003068164
Name:APPLIED DIAGNOSTIC SERVICES-KC, LLC
Entity Type:Organization
Organization Name:APPLIED DIAGNOSTIC SERVICES-KC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DABCI
Authorized Official - Phone:816-569-6555
Mailing Address - Street 1:8600 WARD PKWY
Mailing Address - Street 2:SUITE 2075
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2614
Mailing Address - Country:US
Mailing Address - Phone:816-569-6555
Mailing Address - Fax:816-569-6556
Practice Address - Street 1:8600 WARD PKWY
Practice Address - Street 2:SUITE 2075
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2614
Practice Address - Country:US
Practice Address - Phone:816-569-6555
Practice Address - Fax:816-569-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty