# MIDWEST MEDICAL ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST MEDICAL ASSOCIATES, INC
- **Other names:** Advanced Imaging Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194776815
- **Legal business name:** MIDWEST MEDICAL ASSOCIATES, INC
- **Authorized official:** TAMMY HAMMA (IMAGING SERVICES DIRECTOR)
- **Authorized official phone:** (314) 821-7227

## Contact information

- **Practice address:** 3825 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1356
- **Practice address phone:** (317) 821-7227
- **Practice address fax:** (314) 821-2552
- **Mailing address:** 3825 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1356
- **Mailing address phone:** (317) 821-7227
- **Mailing address fax:** (314) 821-2552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 12/20/2007