# WALKER MEDICAL BUILDING MRI SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215326574
- **Authorized official:** DAVID HORACE (MANAGER)
- **Authorized official phone:** (618) 973-8740

## Contact information

- **Practice address:** 12855 N 40 DR LOWR LEVEL, SAINT LOUIS, MO 63141-8657
- **Practice address phone:** (618) 973-8740
- **Mailing address:** 12855 N 40 DR LOWR LEVEL, SAINT LOUIS, MO 63141-8657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2015
- **Last updated:** 01/09/2015
