VIRTUAL URODYNAMICS LLC NPI 1861782864

NPI Information

  • NPI: 1861782864
  • Provider Name: VIRTUAL URODYNAMICS LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 2340 KATY LN
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 776-7393

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NPI Details

VIRTUAL URODYNAMICS LLC is a medical specialty clinic center in Poplar Bluff, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). VIRTUAL URODYNAMICS LLC NPI is 1861782864. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2340 KATY LN
POPLAR BLUFF, MO
ZIP 63901-300
Phone: (573) 776-7393
Fax: (573) 776-7396

The provider's authorized official is Carrie Lynn Carda .
The authorized official title is Owner and has the following contact phone number (573) 776-7393.

The enumeration date for this NPI number is 4/11/2011 and was last updated on 4/11/2011.

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
1207V00000XObstetrics & GynecologyMD111753MISSOURINo
2208800000XUrologyMD111753MISSOURINo
3261QM2500XClinic/CenterMedical SpecialtyMD111753MISSOURIYes

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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