Metro Medical Clinic, Llc
LBN: Metro Medical Clinic, Llc
Metro Medical Clinic, Llc is an health care organization with primary practice located at 5000 Cedar Plaza Pkwy Ste 300 , Saint Louis MO 63128-3891. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty.
Metro Medical Clinic, Llc can be contacted via phone (314) 647-9797, or through Siddiqui, Jawed H via phone (314) 921-6200.
Contact Information
Primary practice address
5000 Cedar Plaza Pkwy Ste 300
Saint Louis MO 63128-3891
Phone: (314) 647-9797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | R6047 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R6047 | Missouri |
Profile Details
| NPI number | 1922585389 |
|---|---|
| LBN Legal business name | Metro Medical Clinic, Llc |
| DBA Doing business as | Metro Medical Clinic, Llc |
| Authorized official | Siddiqui, Jawed H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2018 |
| Last updated | Oct 20th, 2018 - about 6 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 | 1922585389 | NPPES |
| Missouri | MEDICAID | 200668739 |
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