GM SOUTH, LLC (NPI# 1912387762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912387762 |
| Entity Type | Organization |
| Organization Name | GM SOUTH, LLC |
| Other Organization Name | GREATER MISSOURI IMAGING SOUTH |
| Practice Address |
12152 Tesson Ferry Rd Saint Louis MO 63128-1726 |
| Practice Telephone | 3142704075 |
| Practice Fax Number | 3142703347 |
| Mailing Telephone | 3142704075 |
| Mailing Fax Number | 3142703347 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | MISSY BAILEY (BILLING MANAGER) |
| Authorized Official Telephone | 3146281437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | MO | Laboratories |
| Other Name | Type Code |
|---|---|
| Greater Missouri Imaging South | Doing Business As Name - Organization |
| Street Address |
12152 TESSON FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076674 | Raymond Abdo | Podiatrist | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1779 | 2005-07-13 |
| 1548818495 | Intuitive Wellness LLC | Counselor | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1779 | 2019-09-03 |
| 1790139863 | Spinemore Surgical Associates, P.C. | Specialist | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1779 | 2016-04-14 |
| 1356708713 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1726 | 2016-01-15 |
| 1194131565 | Brooke Hogrefe | Counselor | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1779 | 2014-07-07 |
| 1902049307 | Margaret L Shields | Podiatrist | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1779 | 2009-04-14 |
| 1467695999 | Orthopedic Urgent Care of America LLC | Clinic/Center | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1726 | 2009-04-14 |
| 1982875415 | Susan Marie Morris | Nurse Practitioner | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1726 | 2008-03-12 |
| 1538339841 | Tesson Heights Orthopedic | Clinic/Center | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1726 | 2008-03-04 |
| 1548430952 | Tesson Heights Orthopaedic & Arthroscopic Associates PC | Physical Medicine & Rehabilitation | 12152 Tesson Ferry Rd, Ste 2, Saint Louis, MO 63128-1726 | 2008-03-03 |
| Find all providers in the same location | ||||
| 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 | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757415 | Mobilis Health, LLC | Physiological Laboratory | 4240 Duncan Ave, Second Floor, Saint Louis, MO 63110-1123 | 2015-08-18 |
| 1437108842 | Biotech X-ray Inc | Physiological Laboratory | 1065 Executive Parkway Dr Ste 220, Saint Louis, MO 63141-6367 | 2006-05-10 |
| 1710971080 | Specialized Imaging Services, Inc. | Physiological Laboratory | 9785 Mackenzie Rd, Suite 101, Saint Louis, MO 63123-5438 | 2005-09-01 |
| 1205123387 | Comprehensive Cardiovascular Consultants, Inc. | Physiological Laboratory | 3760 S Lindbergh Blvd, Suite 101, Saint Louis, MO 63127-1374 | 2011-07-08 |
| 1790921088 | Biotech X-ray, Inc. | Physiological Laboratory | 1065 Executive Parkway Dr Ste 220, Saint Louis, MO 63141-6367 | 2008-12-17 |
| 1952482531 | National Diagnostics Inc | Physiological Laboratory | 763 S New Ballas Rd, Suite 260, Saint Louis, MO 63141-8704 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855043 | Midwest Mobile Imaging | Physiological Laboratory | 408 Washington Ave Ste 130, West Plains, MO 65775-3404 | 2015-11-09 |
| 1184026098 | Braincare, LLC | Physiological Laboratory | 303 N Stadium Blvd, Ste 249, Columbia, MO 65203-1493 | 2014-09-23 |
| 1043539190 | Home Oximetry and Sleep Testing of Missouri | Physiological Laboratory | 1720 Kansas Ave, Kansas City, MO 64127-2628 | 2010-05-27 |
| 1730134784 | Nitelife LLC | Physiological Laboratory | 100 Sarah Ann Blvd, Troy, MO 63379-2038 | 2006-05-24 |
| 1235194002 | Sleep Kwest, LLC | Physiological Laboratory | 101b Progress Pkwy, Sullivan, MO 63080-2359 | 2006-04-17 |
| 1063415073 | King's Medical Imaging Creve Coeur, LLC | Physiological Laboratory | 11756 Olive Street Rd, Creve Coeur, MO 63141 | 2005-05-23 |
| 1215397153 | Missouri Diagnostic Services, LLC | Physiological Laboratory | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
| 1417325143 | Biomedical Imaging LLC | Physiological Laboratory | 3450 Bridgeland Dr, Suite F, Bridgeton, MO 63044-2605 | 2015-09-11 |
| 1902239338 | Biomedical Imaging LLC | Physiological Laboratory | 3450 Bridgeland Dr, Suite F, Bridgeton, MO 63044-2605 | 2013-08-21 |
| 1821301342 | Respiratory Diagnostics, LLC | Physiological Laboratory | 11004 E 40 Hwy, Suite 124, Independence, MO 64055-6023 | 2010-07-26 |
| Find all providers with the same taxonomy | ||||
| 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.