CITY DIAGNOSTICS LLC (NPI# 1679013643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679013643 |
| Entity Type | Organization |
| Organization Name | CITY DIAGNOSTICS LLC |
| Practice Address |
1408 N Kingshighway Blvd Suite 224 Saint Louis MO 63113-1400 |
| Practice Telephone | 3146962489 |
| Practice Fax Number | 3146673212 |
| Mailing Telephone | 3146962489 |
| Mailing Fax Number | 3146673212 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | SHANTAY K REED (OWNER) |
| Authorized Official Telephone | 3148530469 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | LC001491707 | MO | Managed Care Organizations |
| Street Address |
1408 N KINGSHIGHWAY BLVD SUITE 224 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63113-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378675 | Larry Paul Stewart | Ophthalmology | 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400 | 2005-10-05 |
| 1982146478 | Lory's Loving Care LLC | Home Health | 1408 N Kingshighway Blvd, 103a, Saint Louis, MO 63113-1400 | 2016-11-15 |
| 1073887642 | Dr. Andrea T. Gordon Dds,llc | Dentist | 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 | 2012-02-29 |
| 1396927166 | Charles T Staton Sr. | Technician/Technologist | 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 | 2007-12-03 |
| 1295725992 | Andrea Thomas Gordon | Dentist | 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
| 1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
| 1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
| 1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
| 1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
| 1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| Find all providers in zip 63113 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945105 | Premier Cds Services | Preferred Provider Organization | 4144 Lindell Blvd Ste 218, Saint Louis, MO 63108-2932 | 2020-02-27 |
| 1689216186 | Isaihs Angels In-home Healthcare, LLC | Preferred Provider Organization | 1276 Saint Cyr Rd Ste 123, Saint Louis, MO 63137-1224 | 2019-10-16 |
| 1811409253 | Outreach Home Healthcare Agency LLC | Preferred Provider Organization | 10351 Capitol Dr, Saint Louis, MO 63136-4305 | 2017-10-25 |
| 1497291090 | Anointing Loving Carellc | Preferred Provider Organization | 769 Laredo Ave, Saint Louis, MO 63138-3633 | 2017-01-06 |
| 1700242872 | Our Hands That Care Ihs LLC | Preferred Provider Organization | 4144 Lindell Blvd Ste 312a, Saint Louis, MO 63108-2953 | 2016-01-05 |
| 1154755338 | Angels Within Cds LLC | Preferred Provider Organization | 4108 W Florissant Ave, Saint Louis, MO 63115-3056 | 2013-08-24 |
| 1508185687 | Nancy Williger Phd LLC | Preferred Provider Organization | 745 Old Frontenac Sq Ste 201, Saint Louis, MO 63131-2755 | 2010-05-27 |
| 1013188572 | Joe Behrmann Md Psychiatry & Psychotherapy LLC | Preferred Provider Organization | 222 S Meramec Ave Ste 201, Saint Louis, MO 63105-3514 | 2008-03-12 |
| 1730713249 | Outreach Home Healthcare Agency In Home, LLC | Preferred Provider Organization | 10351 Capitol Dr, Saint Louis, MO 63136-4305 | 2020-02-24 |
| 1982137105 | Hearts of Healing LLC | Preferred Provider Organization | 2529 Hackman Dr, Saint Louis, MO 63136-5836 | 2017-04-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63113 |
Please comment or provide details below to improve the information on CITY DIAGNOSTICS 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.