GREAT PLAINS RADIOLOGY LLC NPI 1780707877

NPI Information

GREAT PLAINS RADIOLOGY 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. GREAT PLAINS RADIOLOGY LLC NPI is 1780707877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12639 OLD TESSON RD
SUITE 115
SAINT LOUIS, MO
ZIP 63128-786
Phone: (314) 842-8655
Fax: (314) 842-2972

The provider's authorized official is Edward Rene Habert .
The authorized official title is Director and has the following contact phone number (314) 822-0690.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 8/22/2020.

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:

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.