SLUCARE DEPARTMENT OF RADIOLOGY - NPI 1104899459

Q: What is St Louis University's NPI number?

The NPI number for St Louis University is 1104899459. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Slucare Department Of Radiology.

Q: What is St Louis University's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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About Slucare Department Of Radiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SLUCARE DEPARTMENT OF RADIOLOGY (NPI 1104899459) is a healthcare organization registered as a diagnostic radiology in Saint Louis, Missouri and active in the NPI registry since February 2006. The organization maintains a secondary practice location in Saint Louis and lists Alyce Lanxon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104899459

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameST LOUIS UNIVERSITY

Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address3545 Lindell Blvd Fl 3Saint Louis, MO 63103-1020 · (314) 977-6828 · Fax (314) 977-6872

Phone(314) 257-2170

Organization SubpartNo

Authorized OfficialAlyce LanxonExecutive Director · (314) 977-6828

Enumeration DateFebruary 8, 2006

Last NPPES UpdateSeptember 21, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1104899459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

1225 S GRAND BLVD, Saint Louis, MO 63104

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Other Names 1

Doing Business AsSlucare Department Of Radiology

Secondary Practice Location 1

Location 13635 Vista AveSaint Louis, MO 63110-2539 · Phone (314) 977-6828 · Fax (314) 268-5116

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW RUSSELL SMEDS MD

Surgery (Vascular Surgery)