City Diagnostics LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

LC001491707 Issued in MO

Legal business name

CITY DIAGNOSTICS LLC

Practice address

1408 N Kingshighway Blvd
Suite 224
Saint Louis, MO 63113-1400

Phone

(314) 696-2489

Fax

(314) 667-3212

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Shantay K Reed

Title

Owner

Phone

(314) 853-0469

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1679013643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N KINGSHIGHWAY BLVD",
            "address_2": "SUITE 224",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131400",
            "telephone_number": "314-696-2489",
            "fax_number": "314-667-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N KINGSHIGHWAY BLVD",
            "address_2": "SUITE 224",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131400",
            "telephone_number": "314-696-2489",
            "fax_number": "314-667-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SHANTAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-853-0469"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "LC001491707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citrin Chiropractic Center PC
• Jeffrey H Citrin, DC
• Giordano Fabricio Cittolin Santos, MD PHD
• City Cares CDS LLC
• City Chiropractic LLC
• City of Crestwood (Crestwood Fire Department)
• City of St Louis
• City of St Louis (City of St Louis Fire Department)
• City of St. Louis
• City of St. Louis Department of Health (Lead Safe St. Louis)

• Preferred Provider Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.