Provider Demographics
NPI:1346831625
Name:BUCHMANN BIOMEDICAL IMAGING LLC
Entity Type:Organization
Organization Name:BUCHMANN BIOMEDICAL IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:608-769-2704
Mailing Address - Street 1:10626 DEERPATH ACRES CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2526
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3450 BRIDGELAND DR STE F
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2605
Practice Address - Country:US
Practice Address - Phone:314-972-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier