Mirage Imaging LLC
NPI #1992729487 in Hutchinson, Kansas
Provider Information
- NPI Number
- 1992729487
- Entity Type
- Organization
- Organization Name
- Mirage Imaging LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1818 E 23RD AVE
- City
- Hutchinson
- State
- Kansas
- ZIP Code
- 67502-1106
- Phone
- (620) 663-4800
Authorized Official
- Name
- GORDON FUNK
- Title
- CEO
- Phone
- (620) 663-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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