ORTHOPEDIC CENTER OF ST LOUIS IMG LLC
NPI 1649041666
Orthopaedic Surgery in Chesterfield, MO

Q: What is Orthopedic Center Of St Louis Img LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since January 09, 2024CLIA 26D1010659 · Waiver

14825 N OUTER 40 RD STE 200, CHESTERFIELD, MO 63017(314) 336-2555(314) 336-2557 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Orthopedic Center Of St Louis Img Llc NPPES

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

ORTHOPEDIC CENTER OF ST LOUIS IMG LLC (NPI 1649041666) is a healthcare organization registered as an orthopaedic surgery in Chesterfield, Missouri and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Ken Kilen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649041666

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameORTHOPEDIC CENTER OF ST LOUIS IMG LLC

Location Address14825 N OUTER 40 RD STE 200Chesterfield, MO 63017-2152

Mailing Address14825 N Outer 40 Rd Ste 200Chesterfield, MO 63017-2152 · (314) 336-2555 · Fax (314) 336-2557

Phone(314) 336-2555

Fax(314) 336-2557

Organization SubpartNo

Authorized OfficialKen KilenAdministrator · (314) 336-2555

Enumeration DateJanuary 9, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1649041666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

14825 N OUTER 40 RD STE 200, Chesterfield, MO 63017

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1010659

Orthopedic Center Of St Louis-Img LLC · Chesterfield, MO

Active · expires Mar 19, 2027

CLIA Number26D1010659

Laboratory TypePhysician Office

Certificate Effective DateMarch 20, 2025

Certificate Expiration DateMarch 19, 2027

Laboratory DirectorJohn Krause

Laboratory Phone(314) 336-5672

Laboratory LocationOrthopedic Center Of St Louis-Img LLC14825 North Outer Forty Rd, Ste 200, Chesterfield, MO 63017

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MISS AMY LEE MCELYEA ST

Specialist/Technologist, Other (Surgical Technologist)