Medical Mile Imaging
NPI 1407389596ActiveOrganization· Radiology, Diagnostic Radiology· Springfield, MO
Radiology, Diagnostic Radiology in Springfield, Missouri, registered in NPPES in April 2017, part of Medical Mile Imaging. The authorized official on file is Dan T. Sullivan, MD, President.
Overview
| NPI | 1407389596 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medical Mile Imaging |
| NPI issued | Apr 6, 2017 |
| Last updated in NPPES | Apr 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | R4804 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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