QMB Radiology LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

102285 Issued in MO

Legal business name

QMB RADIOLOGY LLC

Practice address

35629 Highway 72
Salem, MO 65560-7217

Phone

(314) 550-3494

Fax

(636) 230-5732

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Qasim Mustafa Bajwa, M.D

Title

President

Phone

(314) 550-3494

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1891034229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COUNTRY CREEK CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113812",
            "telephone_number": "314-550-3494",
            "fax_number": "636-230-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35629 HIGHWAY 72",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655607217",
            "telephone_number": "314-550-3494",
            "fax_number": "636-230-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QMB RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "QASIM",
        "authorized_official_middle_name": "MUSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-550-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "MO",
            "license": "102285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207708611",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Salem, MO
• Providers in Salem, MO by specialty
• Radiologic Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.