Provider Demographics
NPI:1467191270
Name:TSAI MEDICAL SERVICE CORP.
Entity Type:Organization
Organization Name:TSAI MEDICAL SERVICE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-409-3858
Mailing Address - Street 1:16 RIDGECREEK
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8042
Mailing Address - Country:US
Mailing Address - Phone:314-409-3858
Mailing Address - Fax:
Practice Address - Street 1:102 FOUR SEASONS SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3104
Practice Address - Country:US
Practice Address - Phone:314-485-8045
Practice Address - Fax:314-485-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center