Organization
KING'S MEDICAL IMAGING CREVE COEUR, LLC
Active
Other names
Advanced Imaging Creve Coeur
Organization subpart
No
Provider details
NPI number
Authorized official
MS. V. RENAE COYNE (DIRECTOR OF BILLING)
(330) 653-3968
Entity
Organization
Contact information
Practice address
11756 OLIVE STREET RD, CREVE COEUR, MO 63141
(314) 569-3900
(314) 569-2734
Mailing address
1894 GEORGETOWN RD, HUDSON, OH 44236-4058
(330) 653-3968
(330) 656-1660
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
08/22/2020
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