King's Medical Imaging Creve Coeur, LLC
NPI #1063415073 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1063415073
- Entity Type
- Organization
- Organization Name
- King's Medical Imaging Creve Coeur, LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- May 23, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11756 OLIVE STREET RD
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141
- Phone
- (314) 569-3900
Authorized Official
- Name
- MS. V. RENAE COYNE
- Title
- DIRECTOR OF BILLING
- Phone
- (330) 653-3968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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