# FRESENIUS VASCULAR CARE ST LOUIS ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azura Surgery Center St. Louis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245781459
- **Authorized official:** GREGG MILLER MD (SENIOR VP OPERATIONS)
- **Authorized official phone:** (717) 515-4048

## Contact information

- **Practice address:** 201 DUNN RD, FLORISSANT, MO 63031-7928
- **Practice address phone:** (314) 830-3841
- **Practice address fax:** (314) 831-0153
- **Mailing address:** PO BOX 419581, BOSTON, MA 02241-9581
- **Mailing address phone:** (610) 644-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2016
- **Last updated:** 03/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1245781459 | — | MO |