INTEGRATED MEDICAL GROUP LLC NPI 1265327076

NPI Information

  • NPI: 1265327076
  • Provider Name: INTEGRATED MEDICAL GROUP, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 6155 S GRAND BLVD STE 140
    SAINT LOUIS, MO
    ZIP 63111
  • Phone: (314) 526-6093

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NPI Details

INTEGRATED MEDICAL GROUP, LLC is a general practice in Saint Louis, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INTEGRATED MEDICAL GROUP, LLC NPI is 1265327076. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6155 S GRAND BLVD STE 140
SAINT LOUIS, MO
ZIP 63111-319
Phone: (314) 526-6093

The provider's authorized official is Mitchell Liberman .
The authorized official title is Manager and has the following contact phone number (314) 374-3408.

The enumeration date for this NPI number is 6/11/2025 and was last updated on 6/11/2025.

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 License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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