# MIRACL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MIRACL - OB Ultrasound
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518663731
- **Authorized official:** CATHY EGHIGIAN (SR. DIRECTOR, MANAGED CARE)
- **Authorized official phone:** (618) 791-0975

## Contact information

- **Practice address:** 1050 W 10TH ST \# US, ROLLA, MO 65401-2905
- **Practice address phone:** (314) 454-8181
- **Practice address fax:** (314) 747-1429
- **Mailing address:** 1050 W 10TH ST \# US, ROLLA, MO 65401-2905
- **Mailing address phone:** (314) 454-8181
- **Mailing address fax:** (314) 747-1429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023