Organization
GM SOUTH, LLC
Active
Other names
Greater Missouri Imaging South
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY BAILEY (BILLING MANAGER)
(314) 628-1437
Entity
Organization
Contact information
Practice address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
(314) 270-4075
(314) 270-3347
Mailing address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
(314) 270-4075
(314) 270-3347
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
MO
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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