BRIDGETON IMAGING L.L.C. NPI 1679877575

NPI Information

NPI: 1679877575
Provider Name: BRIDGETON IMAGING, L.L.C.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
12121 SAINT CHARLES ROCK RD
BRIDGETON, MO
ZIP 63044
Phone: (314) 291-5050
Get Directions

BRIDGETON IMAGING, L.L.C. is a diagnostic radiology radiology in Bridgeton, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BRIDGETON IMAGING, L.L.C. NPI is 1679877575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12121 SAINT CHARLES ROCK RD
BRIDGETON, MO
ZIP 63044-602
Phone: (314) 291-5050
Fax: (314) 291-8209

The provider's authorized official is Michael Kyle Burtnett .
The authorized official title is Svp Of Outpatient Services, Tenet and has the following contact phone number (469) 893-2153.

The enumeration date for this NPI number is 1/6/2011 and was last updated on 5/26/2016.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »