King'S Medical Imaging Creve Coeur, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

KING'S MEDICAL IMAGING CREVE COEUR, LLC

Practice address

11756 Olive Street Rd
Creve Coeur, MO 63141

Phone

(314) 569-3900

Fax

(314) 569-2734

NPI assigned

May 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. V. Renae Coyne

Title

Director of Billing

Phone

(330) 653-3968

Specialties & licenses 1

Addresses

Other names 1

• Advanced Imaging Creve Coeur Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063415073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 GEORGETOWN RD",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364058",
            "telephone_number": "330-653-3968",
            "fax_number": "330-656-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11756 OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-569-3900",
            "fax_number": "314-569-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S MEDICAL IMAGING CREVE COEUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "V.",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "330-653-3968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Imaging Creve Coeur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Kim, LCSW
• Emily Michelle Kimbel, M.A., CCC-SLP
• Erin Ann Kimmins, DPT
• David Jonathan King, M.D.
• Tinna King, M.D.
• Violet Klenov, M.D.
• Lindsey Sumner Knapp, ATC
• Britney Kneibert
• Alexandra Kohlschreiber, OTR/L
• Anna Konopelkin, DC

• Physiological Laboratory in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Physiological Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.