Provider Demographics
NPI:1346783008
Name:SAINT LUKE'S NEIGHBORHOOD CLINICS, LLC
Entity Type:Organization
Organization Name:SAINT LUKE'S NEIGHBORHOOD CLINICS, LLC
Other - Org Name:SAINT LUKE'S RADIOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:SR VP CFO SLHS
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:V
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-932-3729
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MS 400N
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-502-8782
Mailing Address - Fax:
Practice Address - Street 1:4061 INDIAN CREEK PKWY STE 110
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-4030
Practice Address - Country:US
Practice Address - Phone:816-502-8782
Practice Address - Fax:913-323-8886
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT LUKES HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-29
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty