SAINT LUKES RADIATION THERAPY-LIBERTY LLC; NPI #1912381005

Contact Information

SAINT LUKES RADIATION THERAPY-LIBERTY LLC

2529 GLENN HENDREN DR
SUITE G40
LIBERTY, MO 64068-9606

Phone: 816-251-5630
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for SAINT LUKES RADIATION THERAPY-LIBERTY LLC

NPI # 1912381005

LBN Legal business name SAINT LUKES RADIATION THERAPY-LIBERTY LLC

Authorized official AMY NACHTIGAL - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/17/2015

Last updated 08/30/2016 - About 10 years ago

Identifiers

MO	License #	4885
MO	Medicaid	1912381005
MO	Other	P01685370	RAILROAD MEDICARE

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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