Active NPI
Lodin Medical Imaging, LLC
- Mammography Clinic/Center
- Saint Louis, MO
National Provider Identifier
1962733139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- Legal business name
- LODIN MEDICAL IMAGING, LLC
- Practice address
- 3915 Watson Rd
Suite LL2
Saint Louis, MO 63109-1251 - Phone
- (314) 781-9711
- Fax
- (314) 781-9468
- NPI assigned
- Jan 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matt Masody
- Title
- Owner
- Phone
- (314) 781-9711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | Primary |
Addresses
Primary practice location
3915 Watson Rd
Suite LL2
Saint Louis, MO 63109-1251
Mailing address
3915 Watson Rd
Suite LL2
Saint Louis, MO 63109-1251
Phone (314) 781-9711
Other names 1
- Watson Imaging Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420156800000",
"number": "1962733139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 WATSON RD",
"address_2": "SUITE LL2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091251",
"telephone_number": "314-781-9711",
"fax_number": "314-781-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 WATSON RD",
"address_2": "SUITE LL2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091251",
"telephone_number": "314-781-9711",
"fax_number": "314-781-9468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LODIN MEDICAL IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-27",
"last_updated": "2015-01-02",
"status": "A",
"authorized_official_last_name": "MASODY",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-781-9711",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Watson Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.