Des Peres Square Imaging Center Llc in Saint Louis - Magnetic Resonance Imaging (mri)
Des Peres Square Imaging Center Llc - NPI 1134120454
Des Peres Square Imaging Center Llc is a Magnetic Resonance Imaging (mri) in Saint Louis, Missouri. Des Peres Square Imaging Center Llc practices all healthcare services and medical treatments related to Magnetic Resonance Imaging (mri). The NPI Number for Des Peres Square Imaging Center Llc is 1134120454. The last update date is 2011-03-09.
Des Peres Square Imaging Center Llc's current location address is 1050 Old Des Peres Rd, Saint Louis, Missouri. You can contact this provider via phone number 3145692412 and fax number 3145691655. The mailing address for Des Peres Square Imaging Center Llc is 1050 Old Des Peres Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Des Peres Square Imaging Center Llc |
|---|---|
| Address | 1050 Old Des Peres Rd, Saint Louis, Missouri |
| Phone Number | 3145692412 |
| Fax Number | 3145691655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Polley W Larry |
| Telephone Number | 3145690612 |
NPI Number Detail
| NPI Number | 1134120454 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2011-03-09 |
Provider Mailing Address Detail
| Address | 1050 Old Des Peres Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631311873 |
| Phone Number | 3145692412 |
| Fax Number | 3145691655 |
Provider's Primary Taxonomy Detail
| Speciality | Magnetic Resonance Imaging (mri) |
|---|---|
| Taxonomy | 261Qm1200X |
|
Definition: Captures detailed images of organs and tissues using strong magnetic fields and radio waves. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 168483 | MO | ANTHEM | |
| 470001747 | MO | MEDICARE RAILROAD PIN | |
| 2612904 | MO | AETNA | |
| 1601575 | MO | UNITED HEALTHCARE | |
| 473861 | MO | HEALTHLINK |
Post Comment/ Review Below
What is the Des Peres Square Imaging Center Llc's specialty and taxonomy code?
The Des Peres Square Imaging Center Llc's specialty is Magnetic Resonance Imaging (mri), and the corresponding taxonomy code is 261Qm1200X.
When was the Des Peres Square Imaging Center Llc's 1134120454 issued?
The Des Peres Square Imaging Center Llc's 1134120454 was issued on 2005-08-09.
On what date did the Centers for Medicare & Medicaid Services issue the 1134120454 to Des Peres Square Imaging Center Llc?
The Des Peres Square Imaging Center Llc received its 1134120454 assignment from the Centers for Medicare & Medicaid Services on 2005-08-09.
When was the Des Peres Square Imaging Center Llc's information last updated?
The Des Peres Square Imaging Center Llc's information was last updated on 2011-03-09.
When was the information pertaining to Des Peres Square Imaging Center Llc most recently updated or revised?
The details related to Des Peres Square Imaging Center Llc, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-09.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO