Provider Demographics
NPI:1689149882
Name:BIOMEDICAL IMAGING LLC
Entity Type:Organization
Organization Name:BIOMEDICAL IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-972-0100
Mailing Address - Street 1:3450 BRIDGELAND DR STE F
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2605
Mailing Address - Country:US
Mailing Address - Phone:314-831-4200
Mailing Address - Fax:
Practice Address - Street 1:2044 MADISON AVE STE 28
Practice Address - Street 2:
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040-4661
Practice Address - Country:US
Practice Address - Phone:618-877-3225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOMEDICAL IMAGING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier