Provider Demographics
NPI:1528169752
Name:MIDWEST RADIOLOGY, INC.
Entity type:Organization
Organization Name:MIDWEST RADIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-276-4141
Mailing Address - Street 1:P.O. BOX 802813
Mailing Address - Street 2:MIDWEST RADIOLOGY INC
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2813
Mailing Address - Country:US
Mailing Address - Phone:913-491-0413
Mailing Address - Fax:913-491-0411
Practice Address - Street 1:2316 E. MEYER BLVD.
Practice Address - Street 2:RESEARCH MEDICAL CENTER RADIOLOGY DEPT
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1136
Practice Address - Country:US
Practice Address - Phone:816-276-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100315900AMedicaid
MOI230000OtherMEDICARE PROVIDER NUMBER
MO501204200Medicaid
MOI23000AOtherMEDICARE PROVIDER NUMBER-BELTON
MO24912012OtherBCBS KANSAS CITY
MO24912012OtherBCBS KANSAS CITY