Missouri Heart and Vascular Institute, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MISSOURI HEART AND VASCULAR INSTITUTE, LLC

Practice address

1028 S Kirkwood Rd
Kirkwood, MO 63122-7222

Phone

(314) 394-2950

Fax

(314) 394-2253

NPI assigned

May 14, 2015

Last updated

Jun 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David R Horace

Title

Managing Member

Phone

(618) 973-8740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1417335167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227222",
            "telephone_number": "314-394-2950",
            "fax_number": "314-394-2253"
        },
        {
            "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": "314-394-2950",
            "fax_number": "314-394-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI HEART AND VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "HORACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "618-973-8740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Milner, PH.D.
• Sandra K. Minchow-Proffitt, M.D.
• Mind Body Wellness Professionals
• Missouri CVS Pharmacy LLC (CVS Pharmacy #16624)
• Missouri CVS Pharmacy, L.L.C (CVS Pharmacy #10334)
• Missouri Heart Care, LLC
• Missouri Imaging, Inc (Kirkwood MRI & Imaging, LLC)
• MJT & LL Healthcare LLC
• Mogu 2 LLC
• Katie Joy Molitor

• Radiology Clinic/Center in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Radiology Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.