Organization
WEST COUNTY RADIOLOGICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L. THOMASSON M.D. (PRESIDENT)
(314) 991-8200
Entity
Organization
Contact information
Practice address
615 S NEW BALLAS RD, DEPT OF RADIOLOGY, SAINT LOUIS, MO 63141-8221
(314) 251-6031
(314) 991-8206
Mailing address
11475 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500055929
—
MO
Enumeration date
05/27/2006
Last updated
07/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us