Midwest Diagnostic Imaging Center

NPI #1417139023 in Saint Louis, Missouri

Provider Information

NPI Number
1417139023
Entity Type
Organization
Organization Name
Midwest Diagnostic Imaging Center
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Dec 5, 2007
Last Updated
Dec 5, 2007

Practice Location

Address
4120 LINDELL BLVD
ZIP Code
63108-2914
Phone
(866) 504-2674

Authorized Official

Name
MR. THOMAS BOB ROSS JR.
Title
PRESIDENT CEO
Phone
(866) 504-2674

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Radiology, MammographyRadiology, Mammography
Clinic/Center - RadiologyRadiology

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