LODIN MEDICAL IMAGING LLC NPI 1962733139

NPI Information

NPI: 1962733139
Provider Name: LODIN MEDICAL IMAGING, LLC

Doing Business As: WATSON IMAGING CENTER

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
3915 WATSON RD
SUITE LL2
SAINT LOUIS, MO
ZIP 63109
Phone: (314) 781-9711
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LODIN MEDICAL IMAGING, LLC is a radiology and mammography clinic center in Saint Louis, MO. LODIN MEDICAL IMAGING, LLC NPI is 1962733139. The provider is registered as an organization entity type.
The provider Is Doing Business As Watson Imaging Center.

The provider's business location address is:

3915 WATSON RD
SUITE LL2
SAINT LOUIS, MO
ZIP 63109-251
Phone: (314) 781-9711
Fax: (314) 781-9468

The provider's authorized official is Matt Masody .
The authorized official title is Owner and has the following contact phone number (314) 781-9711.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 1/2/2015.

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	261QR0206X	Clinic/Center	Radiology, Mammography			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	MA2358	MEDICARE PIN	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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