St. Joseph Imaging Center
LBN: East Ridge Investments Llc
St. Joseph Imaging Center is an health care organization with primary practice located at 3937 Sherman Ave , Saint Joseph MO 64506-3649. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
East Ridge Investments Llc can be contacted via phone (816) 676-0625, or through Dalakishvili, Lasha via phone (816) 676-0625.
Contact Information
Primary practice address
3937 Sherman Ave
Saint Joseph MO 64506-3649
Phone: (816) 676-0625
Fax: (816) 676-0627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Missouri |
Profile Details
| NPI number | 1902891955 |
|---|---|
| LBN Legal business name | East Ridge Investments Llc |
| DBA Doing business as | St. Joseph Imaging Center |
| Authorized official | Dalakishvili, Lasha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1902891955 | NPPES |
| Missouri | Other | 122536 | COVENTRY PIN |
| Missouri | MEDICAID | 710208802 | COVENTRY PIN |
| Missouri | MEDICAID | 200265470A | COVENTRY PIN |
| Missouri | Other | P00173170 | COVENTRY PIN |
| Missouri | Other | 31465011 | COVENTRY PIN |
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