ST LUKES CENTER FOR DIAGNOSTIC IMAGING LLC NPI 1023033784

NPI Information

  • NPI: 1023033784
  • Provider Name: ST LUKES CENTER FOR DIAGNOSTIC IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 450 NORTH BALLAS ROAD
    SUITE 270
    ST LOUIS, MO
    ZIP 63141
  • Phone: (952) 542-8553

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NPI Details

ST LUKES CENTER FOR DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in St Louis, 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 1023033784. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 NORTH BALLAS ROAD
SUITE 270
ST LOUIS, MO
ZIP 63141
Phone: (952) 542-8553
Fax: (952) 513-6880

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 enumeration date for this NPI number is 7/13/2006 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?

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This page was last updated on: 3/30/2025

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