Provider Demographics
NPI:1861986176
Name:BIOMEDICAL IMAGING LLC
Entity type:Organization
Organization Name:BIOMEDICAL IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAWANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-831-4200
Mailing Address - Street 1:3450 BRIDGELAND DR STE F
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2605
Mailing Address - Country:US
Mailing Address - Phone:314-972-0100
Mailing Address - Fax:314-735-4162
Practice Address - Street 1:3450 BRIDGELAND DR STE F
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2605
Practice Address - Country:US
Practice Address - Phone:314-972-0100
Practice Address - Fax:314-735-4162
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOMEDICAL IMAGING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier