Organization
TESSON HEIGHTS ORTHOPEDIC
Active
Other names
South County Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI L RAINWATER (BILLING DEPARTMENT SUPERVISOR)
(314) 849-5414
Entity
Organization
Contact information
Practice address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
(314) 714-1023
(314) 714-1068
Mailing address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
(314) 714-1023
(314) 714-1068
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339421
GROUP HEALTH PLAN
MO
Enumeration date
03/04/2008
Last updated
08/18/2015
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