MISSOURI HEART AND VASCULAR INSTITUTE LLC NPI 1417335167

NPI Information

NPI: 1417335167
Provider Name: MISSOURI HEART AND VASCULAR INSTITUTE, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 26D2218008

Address:
1028 S KIRKWOOD RD
KIRKWOOD, MO
ZIP 63122
Phone: (314) 394-2950
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MISSOURI HEART AND VASCULAR INSTITUTE, LLC is a radiology clinic center in Kirkwood, MO. MISSOURI HEART AND VASCULAR INSTITUTE, LLC NPI is 1417335167. The provider is registered as an organization entity type.

The provider's business location address is:

1028 S KIRKWOOD RD
KIRKWOOD, MO
ZIP 63122-222
Phone: (314) 394-2950
Fax: (314) 394-2253

The provider's authorized official is David R Horace .
The authorized official title is Managing Member and has the following contact phone number (618) 973-8740.

The CLIA number assigned to this NPI record is 26D2218008 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 6/14/2017.

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	261QR0200X	Clinic/Center	Radiology			Yes

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

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