Midwest Diagnostic Imaging Center

LBN: Midwest Diagnostic Imaging Center
Midwest Diagnostic Imaging Center is an health care organization with primary practice located at 4120 Lindell Blvd , Saint Louis MO 63108-2914. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Midwest Diagnostic Imaging Center can be contacted via phone (866) 504-2674, or through Ross, Thomas Bob via phone (866) 504-2674.

Contact Information

Primary practice address
4120 Lindell Blvd Saint Louis MO 63108-2914
Phone: (866) 504-2674
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ross, Thomas Bob
Phone: (866) 504-2674

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X Missouri
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X Missouri

Profile Details

NPI number 1417139023
LBN Legal business name Midwest Diagnostic Imaging Center
DBA Doing business as
Authorized official Ross, Thomas Bob
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 17 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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