Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breast Imaging of the Ozarks LLC

Organization Diagnostic Radiology Physician · NPI 1417600412

Breast Imaging of the Ozarks LLC is a Diagnostic Radiology Physician in Springfield, Missouri. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2144 E Republic Rd Ste 104
Springfield, MO 65804-4623
Phone: (870) 945-9455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1417600412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Logan Lackey — Owner/Md · (870) 945-9455
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022
Mailing address3206 4th St, Longview, TX 75605-5143

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