Organization
CARDIAC CATH LAB LLC
Active
Parent organization
ST. LUKE'S MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S MEDICAL GROUP
Authorized official
MR. JAMES SNIDER (VP PHYSICIAN NETWORK)
(636) 685-7804
Entity
Organization
Contact information
Practice address
222 S WOODS MILL RD, SUITE 500, CHESTERFIELD, MO 63017-3625
(314) 205-6969
(314) 205-6884
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(636) 685-7804
(314) 576-2344
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504854803
—
MO
01
—
DE5215
RR MEDICARE
MO
Enumeration date
04/27/2006
Last updated
03/05/2026
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