Aviva Raskas, Md Llc

LBN: Aviva Raskas, Md Llc
Aviva Raskas, Md Llc is an health care organization with primary practice located at 8420 Delmar Blvd 505, Saint Louis MO 63124-2170. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Aviva Raskas, Md Llc can be contacted via phone (314) 749-6621, or through Parciak, Tracy J via phone (314) 432-2580.

Contact Information

Primary practice address
8420 Delmar Blvd 505 Saint Louis MO 63124-2170
Phone: (314) 749-6621
Fax: (314) 432-0223
Website:
Map and Directions
Authorized official contact:
Name: Parciak, Tracy J
Phone: (314) 432-2580

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2002011264 Missouri

Profile Details

NPI number 1043251549
LBN Legal business name Aviva Raskas, Md Llc
DBA Doing business as
Authorized official Parciak, Tracy J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043251549 NPPES
Missouri Other DE2099 GROUP PROVIDER #

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