NPI 1063415073

King's Medical Imaging Creve Coeur, LLC

Organisation Physiological Laboratory Creve Coeur, MO

Practice location

Address: 11756 Olive Street Rd, Creve Coeur, MO 63141
Phone: (314) 569-3900
Fax: (314) 569-2734
Mailing address: 1894 Georgetown Rd, Hudson, OH 44236-4058

Authorised official

Name: V. Renae Coyne
Title: Director of Billing
Phone: (330) 653-3968

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Missouri →

Registry record

NPI: 1063415073
Entity type: Organization
NPI issued: 23 May 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.