Organization
JSM ENTERPRISES, LLC
Active
Other names
Midwest Breast Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON MODICA (OWNER)
(314) 567-5445
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD, STE. 250, SAINT LOUIS, MO 63141-6835
(314) 567-4449
(314) 567-0762
Mailing address
PO BOX 796002, SAINT LOUIS, MO 63179-6000
(314) 567-4449
(314) 567-0762
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0635411 OR 0668136
CIGNA
—
01
—
10439
ESSENCE
—
01
—
113199
HEALTH PARTNERS
—
01
—
189278
GROUP HEALTH PLAN
—
01
—
193989
BCBS
MO
01
—
237811
HEALTHLINK
—
01
—
44935
HEALTHCARE USA
—
01
—
8351165
AETNA
—
01
—
852262
FIRST HEALTH
—
01
—
A-33594
MULTIPLAN
—
Enumeration date
05/03/2006
Last updated
09/11/2025
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