ST LUKES CENTER FOR DIAGNOSTIC IMAGING LLC
NPI 1932145828
Radiology - Diagnostic Radiology in Ofallon, MO
About St Lukes Center For Diagnostic Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LUKES CENTER FOR DIAGNOSTIC IMAGING LLC (NPI 1932145828) is a healthcare organization registered as a diagnostic radiology in Ofallon, Missouri and active in the NPI registry since June 2006. The organization lists Donald D Jacobsen, Officer On The Board Secretary, as its authorized official.Information from the official NPPES registry record, last updated July 21, 2008.
NPPES Registry Identity
★ Primary Specialty
Radiology · Diagnostic Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also on File with NPPES
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D1079002
- Facility Type
- Other - DIAGNOSTIC IMAGING CENTER
- Certificate Effective Date
- January 23, 2024
- Certificate Expiration Date
- January 22, 2026
- Laboratory Director
- JENNIFER L. DEMERTZIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Lukes Center For Diagnostic Imaging Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932145828, enumerated as an "organization" on June 21, 2006.
The provider is located at 5551 WINGHAVEN BOULEVARD SUITE 60 OFALLON, MO 63368 and the phone number is (636) 625-4434.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
