GOMELB VASCULAR LLC NPI 1588146211

NPI Information

  • NPI: 1588146211
  • Provider Name: GOMELB VASCULAR LLC
  • Classification: Specialist/Technologist Cardiovascular - 246XC2903X
  • Specialization: Vascular Specialist
  • Entity Type: Organization
  • Doing Business As: MIDWEST INSTITUTE FOR NON-SURGICAL THERAPY
  • Address: 12855 N 40 DR STE 205
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 255-2204

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NPI Details

GOMELB VASCULAR LLC is a vascular specialist specialist technologist cardiovascular in Saint Louis, MO. The provider is a vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots. GOMELB VASCULAR LLC NPI is 1588146211. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Institute For Non-surgical Therapy.

The provider's business location address is:

12855 N 40 DR STE 205
SAINT LOUIS, MO
ZIP 63141-670
Phone: (314) 255-2204
Fax: (866) 623-8346

The provider's authorized official is Olaguoke Akinwande .
The authorized official title is Provider and has the following contact phone number (410) 499-1078.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 12/13/2022.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32086S0129XSurgeryVascular SurgeryNo
42471C1101XRadiologic TechnologistCardiovascular-Interventional Technology201610164MISSOURINo
52471N0900XRadiologic TechnologistNuclear Medicine Technology2016010164MISSOURINo
62471V0106XRadiologic TechnologistVascular-Interventional Technology2016010164MISSOURINo
7246XC2903XSpecialist/Technologist CardiovascularVascular Specialist2016010164MISSOURIYes

What is NPI?

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

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