institution
Des Peres Square Imaging Center Llc
Magnetic Resonance Imaging (MRI) Clinic/Center in Saint Louis, Missouri
NPI 1134120454

Des Peres Square Imaging Center Llc is a Magnetic Resonance Imaging (MRI) Clinic/Center based in Saint Louis, MO and is specialized in Magnetic Resonance Imaging (MRI). Des Peres Square Imaging Center Llc practices in Saint Louis, MO. The NPI Number for Des Peres Square Imaging Center Llc is 1134120454 and holds a License No. (Missouri).

The current practice location address for Des Peres Square Imaging Center Llc is 1050 Old Des Peres Rd, Saint Louis, MO and can be reached out via phone at 314-569-2412 and via fax at 314-569-1655.

Location: 1050 Old Des Peres Rd, Saint Louis, MO, 63131-1873
institution
Provider Profile Details
NPI Number
1134120454
Provider Name
Des Peres Square Imaging Center Llc
Credential
Provider Entity Type
Organization
Address
1050 Old Des Peres Rd, Saint Louis, MO, 63131-1873
Phone Number
314-569-2412
Fax Number
314-569-1655
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
168483 01 MO ANTHEM
470001747 01 MO MEDICARE RAILROAD PIN
2612904 01 MO AETNA
1601575 01 MO UNITED HEALTHCARE
473861 01 MO HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
1050 Old Des Peres Rd
City
State
Zip
63131-1873
Phone Number
314-569-2412
Fax Number
314-569-1655
person
Provider Business Mailing Address Details
Address
1050 Old Des Peres Rd
City
State
Zip
63131-1873
Phone Number
314-569-2412
Fax Number
314-569-1655
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
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Definition
Definition to come...
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