institution
Modimoon Enterprises, Llc
Mammography Clinic/Center in Saint Louis, Missouri
NPI 1811906944

Modimoon Enterprises, Llc is a Mammography Clinic/Center based in Saint Louis, MO and is specialized in Radiology, Mammography. Modimoon Enterprises, Llc practices in Saint Louis, MO. The NPI Number for Modimoon Enterprises, Llc is 1811906944 and holds a License No. NA (Missouri).

The current practice location address for Modimoon Enterprises, Llc is 3915 Watson Rd, Saint Louis, MO and can be reached out via phone at 314-781-9711.

Location: 3915 Watson Rd, Saint Louis, MO, 63109-1251
institution
Provider Profile Details
NPI Number
1811906944
Provider Name
Modimoon Enterprises, Llc
Credential
Provider Entity Type
Organization
Address
3915 Watson Rd, Saint Louis, MO, 63109-1251
Phone Number
314-781-9711
Fax Number
Provider Enumeration Date
08/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000015183 01 MO ESSENCE
194033 01 MO BCBS
7363390 01 MO CIGNA
institution
Provider Business Practice Location Address Details
Address
3915 Watson Rd
City
State
Zip
63109-1251
Phone Number
314-781-9711
Fax Number
person
Provider Business Mailing Address Details
Address
3915 Watson Rd
City
State
Zip
63109-1251
Phone Number
314-781-9711
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
NA (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
License No.
NA (Missouri)
Definition
Definition to come...
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