# GM SOUTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greater Missouri Imaging South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912387762
- **Authorized official:** MISSY BAILEY (BILLING MANAGER)
- **Authorized official phone:** (314) 628-1437

## Contact information

- **Practice address:** 12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
- **Practice address phone:** (314) 270-4075
- **Practice address fax:** (314) 270-3347
- **Mailing address:** 12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
- **Mailing address phone:** (314) 270-4075
- **Mailing address fax:** (314) 270-3347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | MO | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 06/08/2015