Healthcare Provider Details

I. General information

NPI: 1457366270
Provider Name (Legal Business Name): OPEN IMAGING PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N NEW BALLAS RD STE 20
ST LOUIS MO
63141
US

IV. Provider business mailing address

PO BOX 796017
ST LOUIS MO
63179
US

V. Phone/Fax

Practice location:
  • Phone: 314-567-1818
  • Fax: 314-567-3359
Mailing address:
  • Phone: 314-548-4779
  • Fax: 314-548-4748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAREN F GOODHOPE
Title or Position: PRESIDENT
Credential: MD
Phone: 314-567-1818