Active NPI
Biomedical Imaging LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Bridgeton, MO
National Provider Identifier
1861986176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- BIOMEDICAL IMAGING LLC
- Practice address
- 3450 Bridgeland Dr Ste F
Bridgeton, MO 63044-2605 - Phone
- (314) 972-0100
- Fax
- (314) 735-4162
- NPI assigned
- Jun 20, 2018
- Organization subpart
- Yes
- Parent organization
- BIOMEDICAL IMAGING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawanna Michel
- Title
- Office Manager
- Phone
- (314) 831-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
3450 Bridgeland Dr Ste F
Bridgeton, MO 63044-2605
Mailing address
3450 Bridgeland Dr Ste F
Bridgeton, MO 63044-2605
Phone (314) 972-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Portable X-ray supplier certification: CCN 26X0009842
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- BIOMEDICAL IMAGING
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Jun 26, 2019
- Last certification
- Apr 30, 2019
- Ownership / control type
- Corporation
- Most recent change of ownership
- Mar 24, 2021
- Facility address
- 3450 Bridgeland Drive
Bridgeton, MO 63044
National Provider Directory
National Provider Directory- Part of
- Biomedical Imaging LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1861986176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 BRIDGELAND DR STE F",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442605",
"telephone_number": "314-972-0100",
"fax_number": "314-735-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 BRIDGELAND DR STE F",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442605",
"telephone_number": "314-972-0100",
"fax_number": "314-735-4162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOMEDICAL IMAGING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BIOMEDICAL IMAGING LLC",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "MICHEL",
"authorized_official_first_name": "DAWANNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "314-831-4200"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.