Organization
SIGNATURE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD SACKMAN (CEO)
(314) 849-0311
Entity
Organization
Contact information
Practice address
12639 OLD TESSON ROAD, SUITE 125, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Mailing address
12639 OLD TESSON RD STE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0725114
CIGNA
MO
01
—
1601036
UNITED HEALTHCARE
MO
01
—
194369
BLUE CROSS BLUE SHIELD
MO
01
—
620955
HEALTHLINK
MO
05
—
711357707
—
MO
01
—
81493
GROUP HEALTHPLAN
MO
Enumeration date
07/03/2006
Last updated
10/28/2025
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