Greater Missouri Opensided Mri & Ct

LBN: Opensided Mri Of St Louis, Llc
Greater Missouri Opensided Mri & Ct is an health care organization with primary practice located at 12101 Olive Blvd , Creve Coeur MO 63141-6628. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as the primary health care specialty. Opensided Mri Of St Louis, Llc can be contacted via phone (314) 514-0167, or through Yaakub, Mary via phone (314) 514-0167.

Contact Information

Primary practice address
12101 Olive Blvd Creve Coeur MO 63141-6628
Phone: (314) 514-0167
Fax: (314) 514-8773
Website:
Map and Directions
Authorized official contact:
Name: Yaakub, Mary
Phone: (314) 514-0167

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X

Profile Details

NPI number 1598703589
LBN Legal business name Opensided Mri Of St Louis, Llc
DBA Doing business as Greater Missouri Opensided Mri & Ct
Authorized official Yaakub, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 20th, 2012 - about 12 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 1598703589 NPPES
Missouri Other 000000488078 BCBS PIN
Missouri MEDICAID 503823304 BCBS PIN

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