Des Peres Square Imaging Center Llc
LBN: Des Peres Square Imaging Center Llc
Des Peres Square Imaging Center Llc is an health care organization with primary practice located at 1050 Old Des Peres Rd Suite 75, Saint Louis MO 63131-1873. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty.
Des Peres Square Imaging Center Llc can be contacted via phone (314) 569-2412, or through Polley, Larry W via phone (314) 569-0612.
Contact Information
Primary practice address
1050 Old Des Peres Rd Suite 75
Saint Louis MO 63131-1873
Phone: (314) 569-2412
Fax: (314) 569-1655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X |
Profile Details
| NPI number | 1134120454 |
|---|---|
| LBN Legal business name | Des Peres Square Imaging Center Llc |
| DBA Doing business as | |
| Authorized official | Polley, Larry W |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 9th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134120454 | NPPES |
| Missouri | Other | 168483 | ANTHEM |
| Missouri | Other | 470001747 | ANTHEM |
| Missouri | Other | 2612904 | ANTHEM |
| Missouri | Other | 1601575 | ANTHEM |
| Missouri | Other | 473861 | ANTHEM |
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