Breast Imaging of the Ozarks LLC
NPI 1417600412 · Diagnostic Radiology Physician · Springfield, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Breast Imaging of the Ozarks LLC is a Diagnostic Radiology Physician organization in Springfield, MO (NPI 1417600412).
Provider details
- NPI number
- 1417600412
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Logan Lackey, Owner/Md(870) 945-9455
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-31
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Frequently asked questions
- What is Breast Imaging of the Ozarks LLC's NPI number?
- Breast Imaging of the Ozarks LLC's National Provider Identifier (NPI) is 1417600412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breast Imaging of the Ozarks LLC?
- Breast Imaging of the Ozarks LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Breast Imaging of the Ozarks LLC located?
- Breast Imaging of the Ozarks LLC's practice location on file with NPPES is 2144 E Republic Rd Ste 104, Springfield, MO 65804-4623.
- What is Breast Imaging of the Ozarks LLC's phone number?
- The practice phone number listed in the NPPES registry for Breast Imaging of the Ozarks LLC is (870) 945-9455.
- Does Breast Imaging of the Ozarks LLC accept Medicare?
- Breast Imaging of the Ozarks LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Breast Imaging of the Ozarks LLC?
- The authorized official listed on Breast Imaging of the Ozarks LLC's NPPES record is Logan Lackey, Owner/Md. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breast Imaging of the Ozarks LLC's NPI active?
- Yes — Breast Imaging of the Ozarks LLC's NPI (1417600412) is active in the NPPES registry as of the last update on 2022-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.