26D1079004 CLIA NUMBER - ST LUKE'S RAYUS RADIOLOGY CHESTERFIELD

Laboratory Demographics

CLIA Number: 26D1079004

Facility Name: ST LUKE'S RAYUS RADIOLOGY CHESTERFIELD

Facility Address:
6 MCBRIDE & SON CORPORATE DR
CHESTERFIELD, MO
ZIP 63005
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Facility Phone Number: 636 519-7865

Facility Type: Other - DIAGNOSTIC IMAGING CENTER

Certificate Type: Waiver

NPI Number: 1386611739

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	26D1079004
LAB Type	Other - DIAGNOSTIC IMAGING CENTER
Facility Name	ST LUKE'S RAYUS RADIOLOGY CHESTERFIELD
Street	6 MCBRIDE & SON CORPORATE DR
City	CHESTERFIELD
State	MO
ZIP	63005
Phone	636 519-7865
CertificateType	4
CertificateEffectiveDate	1/23/2024
CertificateExpirationDate	1/22/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024