Provider Demographics
NPI:1982625877
Name:RADIOLOGY CONSULTANTS, INC
Entity Type:Organization
Organization Name:RADIOLOGY CONSULTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELWING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-864-6475
Mailing Address - Street 1:1502 E BROADWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8076
Mailing Address - Country:US
Mailing Address - Phone:573-443-4591
Mailing Address - Fax:573-874-1369
Practice Address - Street 1:1502 E BROADWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8076
Practice Address - Country:US
Practice Address - Phone:573-443-4591
Practice Address - Fax:573-874-1369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO710343005Medicaid
MOMA2002OtherMEDICARE PTAN
MOT600000Medicare ID - Type UnspecifiedNORTHWEST MO MEDICARE
MO710343005Medicaid