Active NPI
Soundwave Imaging, Inc.
- Mobile Radiology Clinic/Center
- Creve Coeur, MO
National Provider Identifier
1467638445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- SOUNDWAVE IMAGING, INC.
- Practice address
- 522 N New Ballas Rd Ste 270
Creve Coeur, MO 63141-6819 - Phone
- (314) 276-7028
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher J Allen, RDMS, RVT
- Title
- President
- Phone
- (314) 276-7028
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | |||
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
522 N New Ballas Rd Ste 270
Creve Coeur, MO 63141-6819
Mailing address
PO Box 308
Millstadt, IL 62260-0308
Phone (314) 276-7028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110215001004 | MO | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3971783416 | Practice locations: Creve Coeur, MO |
National Provider Directory
National Provider DirectoryLocations
7220 N Lindbergh Blvd
Ste 150
Hazelwood, MO 63042
Phone (314) 656-1445
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1710117577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1467638445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "MILLSTADT",
"state": "IL",
"postal_code": "622600308",
"telephone_number": "314-276-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N NEW BALLAS RD STE 270",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416819",
"telephone_number": "314-276-7028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUNDWAVE IMAGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-276-7028",
"authorized_official_credential": "RDMS, RVT"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.