Des Peres Square Imaging Center LLC
NPI #1134120454 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1134120454
- Entity Type
- Organization
- Organization Name
- Des Peres Square Imaging Center LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ORTHOPEDIC ASSOCIATES LLC
- Primary Specialty
- Clinic/Center - Magnetic Resonance Imaging (MRI)
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Mar 9, 2011
Practice Location
- Address
- 1050 OLD DES PERES RD
- Address 2
- SUITE 75
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63131-1873
- Phone
- (314) 569-2412
Authorized Official
- Name
- MR. LARRY W POLLEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (314) 569-0612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
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