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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MODIMOON ENTERPRISES, LLC

Active Organization

Radiology, Mammography · SAINT LOUIS, MO

Registration Details

NPI Number
1811906944
Provider Type
Organization
NPI Issued
Aug 7, 2006 (19.719610717979 yrs)
Last Updated
Jun 25, 2008
Licenses
NA (MO)
NA (MO)

Practice Information

Address
3915 WATSON RD
STE. LL2
SAINT LOUIS, MO, 631091251
Browse MO providers · Browse ZIP 63109
Phone
3147819711
Primary Specialty
Radiology, Mammography
261QR0200X
Additional Specialty
Radiology, Mammography

Other Radiology, Mammography Organizations in SAINT LOUIS, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.