institution
Southtowne Imaging Center Llc
Radiology Clinic/Center in Potosi, Missouri
NPI 1104991918

Southtowne Imaging Center Llc is a Radiology Clinic/Center based in Potosi, MO and is specialized in Radiology. Southtowne Imaging Center Llc practices in Potosi, MO. The NPI Number for Southtowne Imaging Center Llc is 1104991918 and holds a License No. (Missouri).

The current practice location address for Southtowne Imaging Center Llc is 20 Southtowne Dr, Potosi, MO and can be reached out via phone at 573-436-6736 and via fax at 573-436-7321.

Location: 20 Southtowne Dr, Potosi, MO, 63664-5729
institution
Provider Profile Details
NPI Number
1104991918
Provider Name
Southtowne Imaging Center Llc
Credential
Provider Entity Type
Organization
Address
20 Southtowne Dr, Potosi, MO, 63664-5729
Phone Number
573-436-6736
Fax Number
573-436-7321
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
269801 01 MO GHP NUMBER
710002502 05 MO
P00277531 01 MO RAILROAD MEDICARE NUMBER
59787 01 MO HEALTHCARE USA NUMBER
institution
Provider Business Practice Location Address Details
Address
20 Southtowne Dr
City
State
Zip
63664-5729
Phone Number
573-436-6736
Fax Number
573-436-7321
person
Provider Business Mailing Address Details
Address
20 Southtowne Dr
City
State
Zip
63664-5729
Phone Number
573-436-6736
Fax Number
573-436-7321
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
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Definition
Definition to come...
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