PURE IMAGING LLC (NPI# 1013219344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013219344 |
Entity Type | Organization |
Organization Name | PURE IMAGING LLC |
Practice Address |
12345 West Bend Drive Saint Louis MO 63128-2104 |
Mailing Address |
12345 W Bend Dr Suite 105 Saint Louis MO 63128-2182 |
Practice Telephone | 3142703939 |
Mailing Telephone | 3142703939 |
Enumeration Date | 2010-11-18 |
Last Update Date | 2010-11-18 |
Authorized Official Name | MR. SYED INAM HAIDER (OWNER) |
Authorized Official Telephone | 3142703939 |
Authorized Official Credential | MBR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
Street Address |
12345 WEST BEND DRIVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-2104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003387689 | Victus Physician Services, LLC | Clinic/Center | 12345 West Bend Drive, Suite 201, Saint Louis, MO 63128 | 2018-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003353152 | E-cloud Radiology LLC | Radiology | 7304 Stream Valley Ct, Saint Louis, MO 63129-5291 | 2017-01-27 |
1184828410 | John Gerard Ryan | Radiology | Mallinckrodt Institute of Radiology - Barnesjewish Hosp, 510 South Kingshighway Blvd., Saint Louis, MO 63110 | 2007-06-12 |
1174527584 | Edward O'brien | Radiology | 9930 Watson Rd, Saint Louis, MO 63126-1827 | 2005-06-13 |
1366861841 | William Cassidy Wilson Iv | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2014-04-10 |
1720427982 | Aaron Joseph Mintz | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1076 | 2013-06-21 |
1710242516 | Maria Zulfiqar | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2012-07-08 |
1255457271 | Yihua Zhou | Radiology | 3635 Vista At Grand, Radiology Dept - Sluh, Saint Louis, MO 63110-0250 | 2007-03-21 |
1619081940 | Professional Imaging LLC | Radiology | 777 S New Ballas Rd, Suite 005, Saint Louis, MO 63141-8705 | 2006-08-17 |
1194735282 | Numan C Balci | Radiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2006-08-09 |
1972523322 | Michael K Wolverson | Radiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2006-07-20 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.