BREAST IMAGING OF THE OZARKS LLC
NPI 1417600412
Radiology - Diagnostic Radiology in Springfield, MO
About Breast Imaging Of The Ozarks Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREAST IMAGING OF THE OZARKS LLC (NPI 1417600412) is a healthcare organization registered as a diagnostic radiology in Springfield, Missouri and active in the NPI registry since January 2022. The organization lists Logan Lackey, Owner/md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breast Imaging Of The Ozarks Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Breast Imaging Of The Ozarks LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breast Imaging Of The Ozarks LLC's NPI number?
The NPI number for Breast Imaging Of The Ozarks LLC is 1417600412. It was assigned to this organization in the NPPES registry on January 31, 2022.
Where is Breast Imaging Of The Ozarks LLC located?
Breast Imaging Of The Ozarks LLC is located at 2144 E Republic Rd Ste 104, Springfield, MO 65804. The listed phone number is (870) 945-9455.
What is Breast Imaging Of The Ozarks LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Breast Imaging Of The Ozarks LLC enrolled in Medicare?
Yes. Breast Imaging Of The Ozarks LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Breast Imaging Of The Ozarks LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Breast Imaging Of The Ozarks LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Breast Imaging Of The Ozarks LLC accept?
Health plans from UnitedHealthcare list Breast Imaging Of The Ozarks LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Breast Imaging Of The Ozarks LLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Breast Imaging Of The Ozarks Llc · NPI 1417600412
Diagnostic Radiology organization in Springfield, Missouri. Organization record, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1417600412 (Entity type: Organization)
- **Enumerated:** January 31, 2022
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Logan Lackey, OWNER/MD
## Practice location
- **Address:** 2144 E REPUBLIC RD STE 104, Springfield, MO 65804-4623
- **Phone:** (870) 945-9455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1417600412) · Data from the CMS NPPES public registry.