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ST. LUKES CENTER FOR DIAGNOSTIC IMAGING LLC NPI 1497791321


NPI Information

NPI: 1497791321
Provider Name: ST. LUKES CENTER FOR DIAGNOSTIC IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 26D2069781

Address:
11605 STUDT AVENUE
STE 107
CREVE COEUR, MO
ZIP 63141
Phone: (314) 872-7460
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ST. LUKES CENTER FOR DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Creve Coeur, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST. LUKES CENTER FOR DIAGNOSTIC IMAGING LLC NPI is 1497791321. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11605 STUDT AVENUE
STE 107
CREVE COEUR, MO
ZIP 63141
Phone: (314) 872-7460
Fax: (314) 872-7495

The provider's authorized official is Donald D Jacobsen .
The authorized official title is Officer On The Board Secretary and has the following contact phone number (952) 543-6500.

The CLIA number assigned to this NPI record is 26D2069781 - other - outpatient imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/22/2020.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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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