Organization Active NPI

Soundwave Imaging, Inc.

  • Mobile Radiology Clinic/Center
  • Creve Coeur, MO
National Provider Identifier
1467638445
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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

Updated by the provider on Dec 19, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20110215001004 MO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3971783416 Practice locations: Creve Coeur, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.