MISSOURI DIAGNOSTIC SERVICES, LLC (NPI# 1215397153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215397153 |
Entity Type | Organization |
Organization Name | MISSOURI DIAGNOSTIC SERVICES, LLC |
Practice Address |
1517 Copper Rd Holts Summit MO 65043-2033 |
Practice Telephone | 6602070031 |
Practice Fax Number | 8776735233 |
Mailing Telephone | 6602070031 |
Mailing Fax Number | 8776735233 |
Enumeration Date | 2016-03-04 |
Last Update Date | 2016-03-04 |
Authorized Official Name | ALEEM ABBASI (SECRETARY/ MEMBER) |
Authorized Official Telephone | 6602070031 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508225715 | Missouri Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-02-16 |
1760842603 | Missouri Diagnostic Services, LLC | Radiology | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
Street Address |
1517 COPPER RD |
City | HOLTS SUMMIT |
State | MO |
Zip Code | 65043-2033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508225715 | Missouri Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-02-16 |
1760842603 | Missouri Diagnostic Services, LLC | Radiology | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285863340 | Walter A Henderson Jr. | Dentist | 320 S. Summit Dr., Holts Summit, MO 65043 | 2009-07-10 |
1356452155 | St Marys Holts Summit Phar | Pharmacy | 140 Northstar, Holts Summit, MO 65043 | 2006-08-31 |
1881666865 | James R Ennis | General Practice | 180 Northstar, Holts Summit, MO 65043 | 2006-02-03 |
1952357352 | Ssm Regional Health Services | Clinic/Center | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-05-26 |
1033170006 | Lorrie L Campbell | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-03-30 |
1710959598 | Capital Region Medical Center | Family Medicine | 180 Northstar St, Holts Summit, MO 65043-1123 | 2006-02-06 |
1285117622 | Linda Faye Cook | Pharmacy | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2018-09-12 |
1841552700 | Morgan John Schiermeier | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2012-06-15 |
1235151440 | Curtis W Dyer | Family Medicine | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-07-24 |
1811310469 | Lindsey Diane Holt | Occupational Therapist | 93 S Larand Dr, Holts Summit, MO 65043-1132 | 2014-01-31 |
Find all providers in zip 65043 |
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 |
---|---|---|---|---|
1760855043 | Midwest Mobile Imaging | Physiological Laboratory | 408 Washington Ave Ste 130, West Plains, MO 65775-3404 | 2015-11-09 |
1750757415 | Mobilis Health, LLC | Physiological Laboratory | 4240 Duncan Ave, Second Floor, Saint Louis, MO 63110-1123 | 2015-08-18 |
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 |
1437108842 | Biotech X-ray Inc | Physiological Laboratory | 1065 Executive Parkway Dr Ste 220, Saint Louis, MO 63141-6367 | 2006-05-10 |
1235194002 | Sleep Kwest, LLC | Physiological Laboratory | 101b Progress Pkwy, Sullivan, MO 63080-2359 | 2006-04-17 |
1710971080 | Specialized Imaging Services, Inc. | Physiological Laboratory | 9785 Mackenzie Rd, Suite 101, Saint Louis, MO 63123-5438 | 2005-09-01 |
1063415073 | King's Medical Imaging Creve Coeur, LLC | Physiological Laboratory | 11756 Olive Street Rd, Creve Coeur, MO 63141 | 2005-05-23 |
1417325143 | Biomedical Imaging LLC | Physiological Laboratory | 3450 Bridgeland Dr, Suite F, Bridgeton, MO 63044-2605 | 2015-09-11 |
Find all providers with the same taxonomy |
City | HOLTS SUMMIT |
Zip Code | 65043 |
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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.