ADVANCED IMAGING CREVE COEUR – NPI #1063415073
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Health Care Provider Taxonomy Code for Physiological Laboratory

ADVANCED IMAGING CREVE COEUR is a physiological laboratory located in CREVE COEUR, MO. NPPES has assigned the NPI number 1063415073 to ADVANCED IMAGING CREVE COEUR on May 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED IMAGING CREVE COEUR” is a dba name, the actual legal business name for this organization is KING'S MEDICAL IMAGING CREVE COEUR, LLC. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED IMAGING CREVE COEUR below.

NPI Profile for
KING'S MEDICAL IMAGING CREVE COEUR, LLC

NPI Number
1063415073
Enumeration Date

(more than 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KING'S MEDICAL IMAGING CREVE COEUR, LLC
Doing Business As (dba): ADVANCED IMAGING CREVE COEUR
Primary location
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
Phone: (330) 653-3968 Fax: (330) 656-1660
Organization Subpart
No
Authorized Official
V. COYNE
DIRECTOR OF BILLING
Phone: (330) 653-3968
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.