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ST. LUKE'S WHC LLC NPI 1396923694


NPI Information

NPI: 1396923694
Provider Name: ST. LUKE'S WHC, LLC

Doing Business As: MIDWEST BREAST CARE CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 26D2016136

Address:
450 N NEW BALLAS RD
SUITE 250
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 567-4449
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ST. LUKE'S WHC, LLC is a diagnostic radiology radiology in Saint Louis, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST. LUKE'S WHC, LLC NPI is 1396923694. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midwest Breast Care Center.

The provider's business location address is:

450 N NEW BALLAS RD
SUITE 250
SAINT LOUIS, MO
ZIP 63141-835
Phone: (314) 567-4449
Fax: (314) 567-0762

The provider's authorized official is Donald D. Jacobsen .
The authorized official title is Officer (secretary) and has the following contact phone number (952) 543-6500.

The CLIA number assigned to this NPI record is 26D2016136 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/8/2008.


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: 4/28/2024

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