Provider Demographics
NPI:1588669766
Name:UNITED IMAGING CONSULTANTS, LLC
Entity Type:Organization
Organization Name:UNITED IMAGING CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-444-9359
Mailing Address - Street 1:5800 FOXRIDGE DR
Mailing Address - Street 2:STE 240
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-2338
Mailing Address - Country:US
Mailing Address - Phone:913-261-3153
Mailing Address - Fax:
Practice Address - Street 1:5800 FOXRIDGE DR
Practice Address - Street 2:STE 240
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-2338
Practice Address - Country:US
Practice Address - Phone:913-261-3153
Practice Address - Fax:913-262-3295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO244855615Medicaid
KS100366360AMedicaid
MOJ960000BMedicare PIN
KSJ960000AMedicare PIN
MOJ960000Medicare PIN
KS110527Medicare PIN