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BREAST CARE AND DIAGNOSTIC CENTER LLC NPI 1073563755


NPI Information

NPI: 1073563755
Provider Name: BREAST CARE AND DIAGNOSTIC CENTER LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
60 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-6464
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BREAST CARE AND DIAGNOSTIC CENTER LLC is a diagnostic radiology radiology in Cape Girardeau, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BREAST CARE AND DIAGNOSTIC CENTER LLC NPI is 1073563755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703-928
Phone: (573) 334-6464
Fax: (573) 334-3369

The provider's authorized official is David Strong .
The authorized official title is Vice President Cfo and has the following contact phone number (573) 334-4822.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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