Midwest Practice Solutions STL LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIDWEST PRACTICE SOLUTIONS STL LLC

Doing business as

Mobile Medical Diagnostics

Practice address

14585 Manchester Rd
Manchester, MO 63011-3963

Phone

(888) 308-4155

Fax

(314) 965-8705

NPI assigned

Jul 2, 2013

Last updated

Aug 8, 2014By 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

Stephen Nicholas George

Title

Partner/Vice President

Phone

(888) 308-4155

Specialties & licenses 1

Addresses

Other names 1

• Mobile Medical Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1528408705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14585 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113963",
            "telephone_number": "888-308-4155",
            "fax_number": "314-965-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14585 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113963",
            "telephone_number": "888-308-4155",
            "fax_number": "314-965-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PRACTICE SOLUTIONS STL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PARTNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "888-308-4155"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Medical Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Manchester, MO
• Providers in Manchester, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.