Provider Demographics
NPI:1689091076
Name:USA RADIOLOGY MANAGEMENT SOLUTIONS LLC
Entity Type:Organization
Organization Name:USA RADIOLOGY MANAGEMENT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-238-5260
Mailing Address - Street 1:PO BOX 2153 DEPT 30755
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35287-9283
Mailing Address - Country:US
Mailing Address - Phone:314-770-2133
Mailing Address - Fax:314-821-1833
Practice Address - Street 1:603 S BISHOP AVE
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-4314
Practice Address - Country:US
Practice Address - Phone:573-426-4411
Practice Address - Fax:314-821-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ035125Medicaid
MODV4933OtherRAILROAD MEDICARE