Organization
REPRODUCTIVE IMAGING & ANTENATAL TESTING, LLC
Active
Parent organization
ST. LUKE'S MEDICAL GROUP
Other names
St. Luke's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S MEDICAL GROUP
Authorized official
MR. RICK SONNE (DIRECTOR, PHYSICIAN PRACTICE MGMT.)
(314) 576-2490
Entity
Organization
Contact information
Practice address
226 S WOODS MILL RD, SUITE 62 WEST, CHESTERFIELD, MO 63017-3662
(314) 469-3990
(314) 542-0791
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 469-3990
(314) 542-0791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R7824
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE1382
RAIL ROAD MEDICARE
MO
Enumeration date
10/16/2006
Last updated
11/26/2007
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