South County Vascular Associates, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTH COUNTY VASCULAR ASSOCIATES, LLC

Practice address

13303 Tesson Ferry Rd Ste 105
Saint Louis, MO 63128-4062

Phone

(314) 270-8540

NPI assigned

Aug 26, 2017

Last updated

Aug 26, 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

Janet R Dees

Title

Managing Member

Phone

(727) 474-0090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503705600000",
    "number": "1659898096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PALM HARBOR BLVD STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831930",
            "telephone_number": "727-474-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 TESSON FERRY RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284062",
            "telephone_number": "314-270-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY VASCULAR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-26",
        "last_updated": "2017-08-26",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-474-0090"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South County Radiologists, Inc
• South County Sport & Spine, LLC
• South County Surgical Center, LLC
• South County Surgical Services, LLC
• South County Urological, Inc.
• South County Women's Health, P.C.
• South Side Counseling Inc
• South St Louis Medical Associates LLC
• South St Louis Orthopedic Group Inc
• South St. Louis Rehab Institute, Inc. (West County Sports Fitness & Rehabilitation Center)

• Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.