Capital Region Medical Center
Capital Region Medical Center provides Body Imaging Physician services in Jefferson City, Missouri. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1432 SW BlvdJefferson City, MO 65109-2444 Not confirmed with CMS for 12 years — call before visiting
Phone: (573) 632-5580
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Body Imaging Physician (primary) | Taxonomy 2085B0100X |
|---|
Record details
| NPI number | 1679825244 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tom Luebbering — Vice President Of Finance · (573) 632-5102 |
| Other names | Radiance Medical Spa And Vein Care |
| NPI enumerated | October 8, 2012 |
| Last updated in NPPES | December 19, 2013 |
| Mailing address | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 |