Organization · Type 2 NPI

Opensided Mri of ST Louis II

Diagnostic Radiology Physician · Creve Coeur, MO

NPI number 1811518202 Active

Practice location

12101 Olive Blvd
Creve Coeur, MO 63141-6628

Call (314) 514-0167 Map

Mailing address

PO Box 66726
St. Louis, MO 63166-6726

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2 other providers at this address

Opensided Mri of ST Louis, LLCDiagnostic Radiology Physician Creve Coeur, MO NPI 1598703589
True RadiologyInterventional Pain Medicine Physician Creve Coeur, MO NPI 1922977487

Other diagnostic radiology physician providers in Creve Coeur

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NPI record

NPI: 1811518202
Entity type: Organization (Type 2)
Issued: Apr 27, 2020
Last updated: Apr 27, 2020
Status: Active
Subpart: Yes of Greater Missouri Imaging, LLC

Other names

Greater Missouri Imaging · doing business as
Greater Missouri Imaging, LLC · doing business as

Authorized official

Matthew Ruyle, MD
President
(314) 514-0167

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811518202

Opensided Mri of ST Louis II's National Provider Identifier is 1811518202, issued on Apr 27, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Creve Coeur, MO. The record was last updated on Apr 27, 2020.