Imaging Miracles Lc

NPI #1114231305 in Springfield, Missouri

Provider Information

NPI Number: 1114231305
Entity Type: Organization
Organization Name: Imaging Miracles Lc
Subpart: Yes (part of a larger organization)
Parent Organization: 20100328
Primary Specialty: Clinic/Center
Enumeration Date: Jul 30, 2010
Last Updated: Jun 30, 2014

Practice Location

Address: 3827 S TIMBERCREEK AVE
Address 2: SUITE B
City: Springfield
State: Missouri
ZIP Code: 65807-5685
Phone: (417) 861-0071

Authorized Official

Name: MRS. TAMMY ROSE COWAN, RDMS, RDCS
Title: OWNER
Phone: (417) 861-0071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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