Idxpert, P.C.

LBN: Idxpert, P.C.
Idxpert, P.C. is an health care organization with primary practice located at 10004 Kennerly Rd Suite 259B, Saint Louis MO 63128-2141. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Idxpert, P.C. can be contacted via phone (314) 729-1350, or through Cruz, Orlando via phone (314) 729-1350.

Contact Information

Primary practice address
10004 Kennerly Rd Suite 259B Saint Louis MO 63128-2141
Fax: (314) 222-0614
Website:
Authorized official contact:
Name: Cruz, Orlando Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1326126525
LBN Legal business name Idxpert, P.C.
DBA Doing business as
Authorized official Cruz, Orlando Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Jan 18th, 2011 - about 14 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 1326126525 NPPES
Missouri Other 2056665 AETNA HMO
Missouri Other 9200025 AETNA HMO
Missouri Other 1555912 AETNA HMO
Missouri Other 290274 AETNA HMO
Missouri Other 2220 AETNA HMO
Missouri Other 110831 AETNA HMO
Missouri Other 11563 AETNA HMO
Missouri Other 290274 AETNA HMO
Missouri MEDICAID 5056433805 AETNA HMO
Missouri Other 5859116 AETNA HMO

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