Organization
PALMARIS IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BARRON (PRESIDENT)
(636) 728-2222
Entity
Organization
Contact information
Practice address
1000 W 10TH ST, DEPT. OF RADIOLOGY, ROLLA, MO 65401-2905
(636) 728-2222
Mailing address
16091 SWINGLEY RIDGE RD, STE. 100, CHESTERFIELD, MO 63017-2056
(636) 728-2222
(636) 519-7965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025263100
—
NE
05
—
1326057365
—
VA
01
—
246769
BCBS VIRGINIA
VA
05
—
65945743
—
KY
05
—
PENDING
—
NC
Enumeration date
08/07/2006
Last updated
04/20/2008
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