Provider Demographics
NPI:1063458610
Name:MIDWEST RADIOLOGY INC
Entity type:Organization
Organization Name:MIDWEST RADIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-276-3493
Mailing Address - Street 1:4801 W 110TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1214
Mailing Address - Country:US
Mailing Address - Phone:913-491-5300
Mailing Address - Fax:
Practice Address - Street 1:2316 EAST MEYER BLVD.
Practice Address - Street 2:RESEARCH HOSPITAL
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132
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:2006-06-21
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO501204200Medicaid
MO24912012OtherBCBS OF KANSAS CITY
KS100315900 AMedicaid
MOCN9532OtherRAILROAD MEDICARE
KS100315900 AMedicaid
MO501204200Medicaid