St Louis Pet Centers, LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

ST LOUIS PET CENTERS, LLC

Practice address

12637 Olive Blvd
Creve Coeur, MO 63141-6313

Phone

(314) 628-1300

Fax

(314) 628-1301

NPI assigned

Jan 2, 2006

Last updated

Apr 20, 2008By 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

Dr. Michael G Beat, MD

Title

President

Phone

(314) 628-1300

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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.

• Delia M Garcia, M.D.

  • Radiation Oncology Physician
  • Des Peres, MO
  • NPI 1720016280
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1861470734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12637 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-628-1300",
            "fax_number": "314-628-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12637 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-628-1300",
            "fax_number": "314-628-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS PET CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BEAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-628-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO",
            "identifier": "183981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MCO",
            "identifier": "276582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "532846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7995486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE PLUS",
            "identifier": "889182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lauren Spencer, NP
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• Body Imaging Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Body Imaging Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.