OrganizationActive
Tallgrass Imaging Associates, L.L.C.
NPI 1124103379 · Radiology Clinic/Center · Wichita, KS
Provider details
- NPI number
- 1124103379
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Wickersham, Vp of Operations(405) 418-2200
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7111 E 21st St N
Suite B
Wichita, KS 67206-1078
Phone: (316) 925-4624
Fax: (316) 925-4625
Approximate (ZIP-level) locationGet directions
Mailing address
7111 E 21st St N
Wichita, KS 67206-1078
Other names (DBA / former)
- Doing business as
- Tallgrass Diagnostic Imaging
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.