SOUTH COUNTY IMAGING CENTER LLC NPI 1881702728

NPI Information

SOUTH COUNTY IMAGING CENTER LLC is a body imaging radiology in Saint Louis, MO. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. SOUTH COUNTY IMAGING CENTER LLC NPI is 1881702728. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12345 W BEND DR
STE 200
SAINT LOUIS, MO
ZIP 63128-104
Phone: (314) 843-8000
Fax: (314) 843-3004

The provider's authorized official is Abraham S Hawatmeh .
The authorized official title is Owner/president and has the following contact phone number (314) 843-8000.

The CLIA number assigned to this NPI record is 26D0676438 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 4/20/2008.

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:

Other Identifiers

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