Organization
MIRACL, LLC
Active
Organization
MIRACL, LLC
Active
Other names
Radiology - Rolla
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY EGHIGIAN (SENIOR DIRECTOR MANAGED CARE)
(314) 273-0770
Entity
Organization
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-0770
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
04/25/2025
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