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CARDIAC DIAGNOSTIC CENTER LLC NPI 1699750695


NPI Information

NPI: 1699750695
Provider Name: CARDIAC DIAGNOSTIC CENTER LLC
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Organization

Specialization: Nuclear Imaging & Therapy

Address:
10004 KENNERLY RD
SUITE 281B
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5270
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CARDIAC DIAGNOSTIC CENTER LLC is a nuclear imaging and therapy nuclear medicine in Saint Louis, MO. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. CARDIAC DIAGNOSTIC CENTER LLC NPI is 1699750695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10004 KENNERLY RD
SUITE 281B
SAINT LOUIS, MO
ZIP 63128-141
Phone: (314) 543-5270
Fax: (314) 543-5289

The provider's authorized official is Cat Lopez .
The authorized official title is Office Manager and has the following contact phone number (314) 543-5270.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 8/13/2009.


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
1207UN0902XNuclear MedicineNuclear Imaging & Therapy4560MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
127454OTHERMISSOURIBLUE CHOICE
2CJ7575OTHERMISSOURIRAILROAD MEDICARE
38285720OTHERMISSOURICIGNA
4157621OTHERMISSOURIBLUE CROSS/ BLUE SHIELD
5=========OTHERMISSOURIAETNA
6A11496OTHERMISSOURIMERCY
7511284OTHERMISSOURIHEALTHLINK
893056MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.