Organization Active NPI

Biomedical Imaging LLC

  • Physiological Laboratory
  • Bridgeton, MO
National Provider Identifier
1902239338
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
33867 Issued in MO
Legal business name
BIOMEDICAL IMAGING LLC
Practice address
3450 Bridgeland Dr
Suite F
Bridgeton, MO 63044-2605
Phone
(314) 972-0100
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Dr. Sharad P Parikh, MD
Title
Manager
Phone
(314) 831-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 33867 MO Primary

Addresses

Primary practice location

3450 Bridgeland Dr
Suite F
Bridgeton, MO 63044-2605

Mailing address

3450 Bridgeland Dr
Suite F
Bridgeton, MO 63044-2605
Phone (314) 972-0100

Other identifiers 1

IdentifierTypeStateIssuer
710886508MedicaidMO

National Provider Directory

National Provider Directory

Locations

3450 Bridgeland Dr
Ste F
Bridgeton, MO 63044
Phone (314) 831-4200

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1902239338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BRIDGELAND DR",
            "address_2": "SUITE F",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442605",
            "telephone_number": "314-972-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 BRIDGELAND DR",
            "address_2": "SUITE F",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442605",
            "telephone_number": "314-972-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-831-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MO",
            "license": "33867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710886508",
            "state": "MO"
        }
    ],
    "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 Oct 21, 2015; 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.