St. Louis Medical Clinic
LBN: St Louis Medical Clinic, P.C.
St. Louis Medical Clinic is an health care organization with primary practice located at 3009 N Ballas Rd Suite 100B, Saint Louis MO 63131-2322. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Rheumatology, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
St Louis Medical Clinic, P.C. can be contacted via phone (314) 432-1111, or through Powell, Mindy D via phone (314) 983-4000.
Contact Information
Primary practice address
3009 N Ballas Rd Suite 100B
Saint Louis MO 63131-2322
Phone: (314) 432-1111
Fax: (314) 432-6308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1174505127 |
|---|---|
| LBN Legal business name | St Louis Medical Clinic, P.C. |
| DBA Doing business as | St. Louis Medical Clinic |
| Authorized official | Powell, Mindy D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 2nd, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174505127 | NPPES |
| Missouri | Other | 26D2302743 | CLIA |
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