SCOTT RADIOLOGICAL GROUP INC NPI 1063445096

NPI Information

NPI: 1063445096
Provider Name: SCOTT RADIOLOGICAL GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1420 HIGHWAY 61 SOUTH
FESTUS, MO
ZIP 63028
Phone: (314) 647-2344
Get Directions

SCOTT RADIOLOGICAL GROUP INC is a diagnostic radiology radiology in Festus, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SCOTT RADIOLOGICAL GROUP INC NPI is 1063445096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1420 HIGHWAY 61 SOUTH
FESTUS, MO
ZIP 63028-108
Phone: (314) 647-2344
Fax: (314) 647-5108

The provider's authorized official is James A Junker .
The authorized official title is President And Ceo and has the following contact phone number (314) 647-2344.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500875703	MEDICAID	MISSOURI
2	CP4241	OTHER	MISSOURI	RAILROAD MEDICARE
3	000010084	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
4	27716V27716	OTHER	MISSOURI	GROUP HEALTH PLAN
5	194361	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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