Organization
CENTRAL RADIOLOGY GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA GEORGE MD (PRESIDENT)
(314) 567-4449
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD STE 250, SAINT LOUIS, MO 63141-6817
(314) 567-4449
(952) 541-5443
Mailing address
PO BOX 796000, ST LOUIS, MO 63199
(606) 260-4144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609093
UHC
—
01
—
6668
GHP
—
01
—
686
BCBS
—
05
—
710440009
—
MO
01
—
CE7457
RAILROAD MEDICARE
—
Enumeration date
07/30/2006
Last updated
03/31/2020
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