Archway Lithotripsy, LLC
Organization Active NPI Contractor · Saint Charles, MO
NPI 1003028754 · NPPES record last updated Apr 15, 2010
Key facts
- NPI
- 1003028754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- Legal business name
- ARCHWAY LITHOTRIPSY, LLC
- Practice address
- 85 Jason CT
Saint Charles, MO 63304-1233 - Phone
- (636) 939-6633
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Vincent G Landeck, RT (R) CLS
- Title
- President
- Phone
- (636) 939-6633
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | Yes |
Addresses
Primary practice location
85 Jason CT
Saint Charles, MO 63304-1233
Mailing address
85 Jason CT
Saint Charles, MO 63304-1233
Phone (636) 939-6633
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.