Provider Demographics
NPI:1720338874
Name:INTERNATIONAL INSTITUTE OF METROPOLITAN SAINT LOUIS
Entity Type:Organization
Organization Name:INTERNATIONAL INSTITUTE OF METROPOLITAN SAINT LOUIS
Other - Org Name:INTERNATIONAL INSTITUTE OF ST. LOUIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSSLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-773-9090
Mailing Address - Street 1:3654 S GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-3404
Mailing Address - Country:US
Mailing Address - Phone:314-773-9090
Mailing Address - Fax:314-773-6047
Practice Address - Street 1:3654 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3404
Practice Address - Country:US
Practice Address - Phone:314-773-9090
Practice Address - Fax:314-773-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty