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General NPI Number Information
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NPI Number | 1902239338
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Entity Type | Organization
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Legal Business Name | BIOMEDICAL IMAGING LLC
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 3450 BRIDGELAND DR SUITE F
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City | BRIDGETON
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State | MO
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Zip | 63044-2605
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Country | US
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Telephone | 314-972-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 BRIDGELAND DR SUITE F
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City | BRIDGETON
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State | MO
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Zip | 63044-2605
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Country | US
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Telephone | 314-972-0100
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SHARAD P PARIKH
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Credential | MD
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Telephone | 314-831-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 33867
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License Number State | MO
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