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MISSOURI IMAGING AFFILIATES LLC NPI 1841285558


NPI Information

NPI: 1841285558
Provider Name: MISSOURI IMAGING AFFILIATES LLC

Doing Business As: CLINICAL PET OF WEST COUNTY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 26D0972423

Address:
450 N NEW BALLAS RD
CREVE COEUR, MO
ZIP 63141
Phone: (314) 567-4343
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MISSOURI IMAGING AFFILIATES LLC is a clinic center in Creve Coeur, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MISSOURI IMAGING AFFILIATES LLC NPI is 1841285558. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinical Pet Of West County.

The provider's business location address is:

450 N NEW BALLAS RD
CREVE COEUR, MO
ZIP 63141-835
Phone: (314) 567-4343
Fax: (314) 567-4346

The provider's authorized official is Steven Michael Mcrae .
The authorized official title is Managing Member and has the following contact phone number (618) 659-1167.

The CLIA number assigned to this NPI record is 26D0972423 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2005 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
1261Q00000XClinic/CenterYes

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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