ST. LUKE'S WHC LLC NPI 1396923694

NPI Information

  • NPI: 1396923694
  • Provider Name: ST. LUKE'S WHC, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: MIDWEST BREAST CARE CENTER
  • CLIA Number: 26D2016136
  • Address: 450 N NEW BALLAS RD
    SUITE 250
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 567-4449

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NPI Details

ST. LUKE'S WHC, 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. ST. LUKE'S WHC, LLC NPI is 1396923694. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midwest Breast Care Center.

The provider's business location address is:

450 N NEW BALLAS RD
SUITE 250
SAINT LOUIS, MO
ZIP 63141-835
Phone: (314) 567-4449
Fax: (314) 567-0762

The provider's authorized official is Donald D. Jacobsen .
The authorized official title is Officer (secretary) and has the following contact phone number (952) 543-6500.

The CLIA number assigned to this NPI record is 26D2016136 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/8/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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