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Organization
MIDWEST MEDICAL ASSOCIATES, INC
Active
Organization
MIDWEST MEDICAL ASSOCIATES, INC
Active
Parent organization
MIDWEST MEDICAL ASSOCIATES, INC
Other names
Advanced Imaging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST MEDICAL ASSOCIATES, INC
Authorized official
TAMMY HAMMA (IMAGING SERVICES DIRECTOR)
(314) 821-7227
Entity
Organization
Contact information
Practice address
3825 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1356
(317) 821-7227
(314) 821-2552
Mailing address
3825 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1356
(317) 821-7227
(314) 821-2552
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
05/15/2006
Last updated
12/20/2007
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