Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Breast Imaging of the Ozarks LLC

Organization Diagnostic Radiology Physician · NPI 1417600412

Breast Imaging of the Ozarks LLC provides Diagnostic Radiology Physician services in Springfield, Missouri. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2144 E Republic Rd Ste 104
Springfield, MO 65804-4623
Phone: (870) 945-9455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1417600412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Logan Lackey — Owner/Md · (870) 945-9455
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022
Mailing address3206 4th St, Longview, TX 75605-5143

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