Organization
CENTRIC OUTPATIENT CATH LAB LLC
Active
Organization
CENTRIC OUTPATIENT CATH LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV DHARI RAVIPUDI MD (OWNER)
(626) 394-6299
Entity
Organization
Contact information
Practice address
2103 SILVA LN, MOBERLY, MO 65270-3660
(660) 616-0022
Mailing address
2103 SILVA LN, MOBERLY, MO 65270-3660
(660) 616-0022
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
2002015751
MO
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up