OPENSIDED MRI OF ST LOUIS, LLC (NPI# 1598703589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598703589 |
| Entity Type | Organization |
| Organization Name | OPENSIDED MRI OF ST LOUIS, LLC |
| Other Organization Name | GREATER MISSOURI OPENSIDED MRI & CT |
| Practice Address |
12101 Olive Blvd Creve Coeur MO 63141-6628 |
| Practice Telephone | 3145140167 |
| Practice Fax Number | 3145148773 |
| Mailing Telephone | 3145140167 |
| Mailing Fax Number | 3145148773 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | MRS. MARY YAAKUB (BUSINESS MANAGER) |
| Authorized Official Telephone | 3145140167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS PIN | 000000488078 | 01 |
| MO | 503823304 | 05 |
| Other Name | Type Code |
|---|---|
| Greater Missouri OpenSided MRI & CT | Doing Business As Name - Organization |
| Street Address |
12101 OLIVE BLVD |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518202 | Opensided Mri of St Louis II | Radiology | 12101 Olive Blvd, Creve Coeur, MO 63141-6628 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598299117 | Deborah Candice | Radiologic Technologist | 4532 Harvshire Ct, Saint Louis, MO 63128-3625 | 2017-04-20 |
| 1922488857 | Jacob Hardin | Radiologic Technologist | 5 Kipling Way Apt 202, Columbia, MO 65201-7251 | 2015-06-05 |
| 1073646246 | Tri-lakes Diagnostic Tech. | Radiologic Technologist | 523 St. Hwy 248 Ste 300, Branson, MO 65616-7748 | 2007-03-14 |
| 1861570020 | Maple Crest Open Mri | Radiologic Technologist | 840 W Kansas Avenue, Ste A, Liberty, MO 64068-2033 | 2006-11-02 |
| 1295707297 | Midwest Imaging Center, LLC | Radiologic Technologist | 604 Maple Valley Dr, Farmington, MO 63640-1976 | 2006-02-03 |
| 1578185989 | Feras Kaid | Radiologic Technologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-08 |
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on OPENSIDED MRI OF ST LOUIS, LLC.
| 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.