Watson Imaging Center
LBN: Modimoon Enterprises, Llc
Watson Imaging Center is an health care organization with primary practice located at 3915 Watson Rd Ste. Ll2, Saint Louis MO 63109-1251. 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.
Modimoon Enterprises, Llc can be contacted via phone (314) 781-9711, or through Moon, Jennifer via phone (314) 781-9711.
Contact Information
Primary practice address
3915 Watson Rd Ste. Ll2
Saint Louis MO 63109-1251
Phone: (314) 781-9711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | NA | Missouri |
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X | NA | Missouri |
Profile Details
| NPI number | 1811906944 |
|---|---|
| LBN Legal business name | Modimoon Enterprises, Llc |
| DBA Doing business as | Watson Imaging Center |
| Authorized official | Moon, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jun 25th, 2008 - about 16 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 | 1811906944 | NPPES |
| Missouri | Other | 000000015183 | ESSENCE |
| Missouri | Other | 194033 | ESSENCE |
| Missouri | Other | 7363390 | ESSENCE |
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