Midwest Medical Associates, Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MIDWEST MEDICAL ASSOCIATES, INC

Practice address

3825 S Lindbergh Blvd
Saint Louis, MO 63127-1356

Phone

(317) 821-7227

Fax

(314) 821-2552

NPI assigned

May 15, 2006

Organization subpart

Yes

Parent organization

MIDWEST MEDICAL ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Tammy Hamma

Title

Imaging Services Director

Phone

(314) 821-7227

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Advanced Imaging Center Doing business as

Part of

Southwest Medical Cente

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Midwest Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1417941584

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1194776815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271356",
            "telephone_number": "317-821-7227",
            "fax_number": "314-821-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271356",
            "telephone_number": "317-821-7227",
            "fax_number": "314-821-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST MEDICAL ASSOCIATES, INC",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "HAMMA",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "IMAGING SERVICES DIRECTOR",
        "authorized_official_telephone_number": "314-821-7227"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH3968",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502461700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.