OrganizationActive
Phs Ks Moirai LLC
NPI 1245175835 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Coffeyville, KS
Provider details
- NPI number
- 1245175835
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- James Baker, Ceo(918) 664-9729
Specialties & taxonomies
Suppliers
Practice location
1510 Walnut St
Coffeyville, KS 67337-6641
Phone: (800) 771-9729
Approximate (ZIP-level) locationGet directions
Mailing address
8181 E 46th St
Tulsa, OK 74145-4801
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.