MISSOURI DIAGNOSTIC SERVICES, LLC


Address: 1517 Copper Rd, Holts Summit, MO 65043-2033
Phone: 6602070031

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider IDs and Locations

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

Office Location

Street Address 1517 COPPER RD
City HOLTS SUMMIT
State MO
Zip Code 65043-2033

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City HOLTS SUMMIT
Zip Code 65043

Improve Information

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Dataset Information

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.

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