Provider Demographics
NPI:1083040125
Name:EKA IMAGING, LLC
Entity Type:Organization
Organization Name:EKA IMAGING, LLC
Other - Org Name:EKA IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:BLAIR
Authorized Official - Last Name:MAES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-551-4900
Mailing Address - Street 1:3050 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-5925
Mailing Address - Country:US
Mailing Address - Phone:417-551-4900
Mailing Address - Fax:417-551-4852
Practice Address - Street 1:3050 N 20TH ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-5925
Practice Address - Country:US
Practice Address - Phone:417-551-4900
Practice Address - Fax:417-551-4852
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMERGENCE TELERADIOLOGY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile