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Contact Information

INSTITUTE OF PERSONALIZED MEDICINE LLC
7721 CLAYTON RD
CLAYTON, MO63117-1301
 Phone: 314-546-6072
 Fax: 314-569-4961
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for INSTITUTE OF PERSONALIZED MEDICINE LLC

NPI # 1407314263
LBN Legal business name INSTITUTE OF PERSONALIZED MEDICINE LLC
Authorized official TERRENCE CHAVIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2019
Last updated 03/11/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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