JSM ENTERPRISES LLC NPI 1962460428

NPI Information

NPI: 1962460428
Provider Name: JSM ENTERPRISES, LLC

Doing Business As: MIDWEST BREAST CARE CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
450 N NEW BALLAS RD
STE. 250
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 567-4449
Get Directions

JSM ENTERPRISES, LLC is a radiology clinic center in Saint Louis, MO. JSM ENTERPRISES, LLC NPI is 1962460428. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Breast Care Center.

The provider's business location address is:

450 N NEW BALLAS RD
STE. 250
SAINT LOUIS, MO
ZIP 63141-835
Phone: (314) 567-4449
Fax: (314) 567-0762

The provider's authorized official is Sharon Modica .
The authorized official title is Owner and has the following contact phone number (314) 567-5445.

The enumeration date for this NPI number is 5/3/2006 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
1	261QR0200X	Clinic/Center	Radiology			Yes
2	261QR0206X	Clinic/Center	Radiology, Mammography			X

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	193989	OTHER	MISSOURI	BCBS
2	10439	OTHER		ESSENCE
3	852262	OTHER		FIRST HEALTH
4	237811	OTHER		HEALTHLINK
5	A-33594	OTHER		MULTIPLAN
6	0635411 OR 0668136	OTHER		CIGNA
7	8351165	OTHER		AETNA
8	113199	OTHER		HEALTH PARTNERS
9	189278	OTHER		GROUP HEALTH PLAN
10	44935	OTHER		HEALTHCARE USA

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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