Organization
DIAGNOSTIC IMAGING ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE SUMMERS (CREDENTIALING)
(314) 471-8323
Entity
Organization
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(314) 434-1500
(314) 548-4748
Mailing address
13209 CORPORATE EXCHANGE DR, BRIDGETON, MO 63044-3721
(314) 471-8323
(314) 548-4748
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711811208
—
MO
Enumeration date
07/09/2006
Last updated
06/09/2020
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