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A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI Number | 1063415073 |
| LBN Legal business name | KING'S MEDICAL IMAGING CREVE COEUR, LLC |
| Authorized official | V. COYNE - (DIRECTOR OF BILLING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/23/2005 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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| CHRISTINE L BOHANNON BOX 64 303 W MAIN ST ADRIAN, MO |
| HANNAH R BARTLETT 57 E MAIN ST ADRIAN, MO |
| ELIZABETH K BROWN, PLPC 1804 LAFAYETTE AVE., 2ND FLOOR WEST , SAINT LOUIS, MO |
KING'S MEDICAL IMAGING CREVE COEUR, LLC