SLUCare Department of Radiology – Diagnostic Radiology Physician, NPI 1104899459

SLUCare Department of Radiology is a healthcare provider. based in Saint louis, Missouri. specializing in Diagnostic Radiology Physician. The NPI Number for SLUCare Department of Radiology is 1104899459

Main info

Organization
Name
SLUCare Department of Radiology
NPI
1104899459
Phone
(314) 977-6828
Address
3635 Vista Ave
Authorized Official
MRS. ALYCE LANXON EXECUTIVE DIRECTOR
Enumeration Date
8 February 2006
Last Update Date
21 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for SLUCare Department of Radiology

  • 3635 Vista Ave

    Saint Louis, MO 631102539

    Phone: (314) 977-6828

    Fax: (314) 268-5116

    Type: Location

  • 3545 LINDELL BLVD FL 3

    SAINT LOUIS, MO 631031020

    Phone: (314) 977-6828

    Fax: (314) 977-6872

    Type: Mailing

  • 1225 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 257-2170

    Type: Location

  • 650, Chestnut Street, Downtown, City of Saint Louis, Missouri, 63101, United States

    SAINT LOUIS, MO 631032236

    Phone: (314) 977-6828

    Fax: (314) 977-6872

    Type: Mailing

  • SSM Health Saint Louis University Hospital, 3635, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631102539

    Phone: (314) 977-6828

    Fax: (314) 268-5116

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63110)

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Frequently asked questions

How do I look up SLUCare Department of Radiology by NPI?
Use NPI 1104899459 when you need to reference SLUCare Department of Radiology in forms, claims, or directories.
Does this profile mean SLUCare Department of Radiology is currently active?
Yes — SLUCare Department of Radiology appears active in the national provider directory.
What field does SLUCare Department of Radiology work in?
You can think of SLUCare Department of Radiology as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SLUCare Department of Radiology?
The snapshot lists Saint Louis, Missouri for SLUCare Department of Radiology; download NPPES for the complete set.
How can I contact SLUCare Department of Radiology?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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