Provider Demographics
NPI:1225466691
Name:ALPHA MEDICAL IMAGING INC
Entity Type:Organization
Organization Name:ALPHA MEDICAL IMAGING INC
Other - Org Name:ST PETERS MRI & IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:T
Authorized Official - Last Name:AZABIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-605-0295
Mailing Address - Street 1:5650 MEXICO RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1696
Mailing Address - Country:US
Mailing Address - Phone:636-498-2900
Mailing Address - Fax:636-498-2904
Practice Address - Street 1:5650 MEXICO RD
Practice Address - Street 2:SUITE 15
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1696
Practice Address - Country:US
Practice Address - Phone:636-498-2900
Practice Address - Fax:636-498-2904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)