WEST COUNTY RADIOLOGICAL GROUP INC. NPI 1477500585

NPI Information

NPI: 1477500585
Provider Name: WEST COUNTY RADIOLOGICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
615 S NEW BALLAS RD
DEPT OF RADIOLOGY
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6031
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WEST COUNTY RADIOLOGICAL GROUP, INC. 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. WEST COUNTY RADIOLOGICAL GROUP, INC. NPI is 1477500585. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 S NEW BALLAS RD
DEPT OF RADIOLOGY
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-6031
Fax: (314) 991-8206

The provider's authorized official is Jeffrey L. Thomasson .
The authorized official title is President and has the following contact phone number (314) 991-8200.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 7/28/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207U00000X	Nuclear Medicine		No
2	2085N0700X	Radiology	Neuroradiology	No
3	2085P0229X	Radiology	Pediatric Radiology	No
4	2085R0001X	Radiology	Radiation Oncology	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	No
6	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500055929	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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