J. RONALD ANDERSSEN NPI 1821285479

NPI Information

NPI: 1821285479
Provider Name: J. RONALD ANDERSSEN

Doing Business As: ANDERSSEN MOBILE X-RAY SERVICE

Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
14824 CLAYTON RD
SUITE 21
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 227-6878
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J. RONALD ANDERSSEN is a radiology and mobile clinic center in Chesterfield, MO. J. RONALD ANDERSSEN NPI is 1821285479. The provider is registered as an organization entity type.
The provider Is Doing Business As Anderssen Mobile X-ray Service.

The provider's business location address is:

14824 CLAYTON RD
SUITE 21
CHESTERFIELD, MO
ZIP 63017-888
Phone: (636) 227-6878
Fax: (636) 227-7822

The provider's authorized official is J. Ronald Anderssen .
The authorized official title is Owner and has the following contact phone number (636) 227-6878.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 12/8/2008.

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
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010521	MEDICARE PIN	MISSOURI
2	711752105	MEDICAID	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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