Organization Active NPI

Cardio and Vascular Imaging LLC

  • Clinic/Center
  • Kirkwood, MO
National Provider Identifier
1134908981
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CARDIO AND VASCULAR IMAGING LLC
Practice address
1028 S Kirkwood Rd
Kirkwood, MO 63122-7222
Phone
(314) 398-3975
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Mr. Kirk Carlile, RDCS, RVS
Title
Owner
Phone
(314) 398-3975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1028 S Kirkwood Rd
Kirkwood, MO 63122-7222

Mailing address

1746 Timber Ridge Estates Dr
Wildwood, MO 63011-1976
Phone (314) 398-3975

National Provider Directory

National Provider Directory

Locations

1028 S Kirkwood Rd
Ste A
Saint Louis, MO 63122
Phone (314) 394-2255

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1134908981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 TIMBER RIDGE ESTATES DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630111976",
            "telephone_number": "314-398-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227222",
            "telephone_number": "314-398-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO AND VASCULAR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "CARLILE",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-398-3975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS, RVS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.