Organization
GOMELB VASCULAR LLC
Active
Organization
GOMELB VASCULAR LLC
Active
Other names
Midwest Institute for Non-surgical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
OLAGUOKE AKINWANDE MD (PROVIDER)
(410) 499-1078
Entity
Organization
Contact information
Practice address
12855 N 40 DR STE 205, SAINT LOUIS, MO 63141-8670
(314) 255-2204
(866) 623-8346
Mailing address
12855 N 40 DR STE 205, SAINT LOUIS, MO 63141-8670
(314) 255-2204
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
2016010164
MO
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
201610164
MO
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
2016010164
MO
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
2016010164
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/29/2018
Last updated
12/13/2022
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