Organization
GREAT PLAINS RADIOLOGY LLC
Active
Organization
GREAT PLAINS RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD RENE HABERT M.D. (DIRECTOR)
(314) 822-0690
Entity
Organization
Contact information
Practice address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 842-8655
(314) 842-2972
Mailing address
125 E CLINTON PL APT 2A, KIRKWOOD, MO 63122-6172
(314) 822-0690
(314) 842-2972
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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