Healthcare Provider Details

I. General information

NPI: 1538529979
Provider Name (Legal Business Name): MZS MEDICAL SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2016
Last Update Date: 02/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

953 DELVIN DR
SAINT LOUIS MO
63141-8800
US

IV. Provider business mailing address

953 DELVIN DR
SAINT LOUIS MO
63141-8800
US

V. Phone/Fax

Practice location:
  • Phone: 636-942-2223
  • Fax:
Mailing address:
  • Phone: 636-942-2223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberR8726
License Number StateMO

VIII. Authorized Official

Name: SHELLI ANN KATZENBERGER
Title or Position: BILLING MANAGER
Credential:
Phone: 314-614-7794