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GOMELB VASCULAR LLC

Technologists, Technicians & Other Technical Service Providers Radiologic Technologist Cardiovascular-Interventional Technology

Provider NPI: 1588146211

Organization Information:
Organization Name:  GOMELB VASCULAR LLC
Organization is not Subpart
Authorized Official:  OLAGUOKE  AKINWANDE  PROVIDER  410-499-1078

Practice Location:
3444 MCKELVEY RD  BRIDGETON, MO 63044-2525 US
Tel: 104-991-0784  Fax: --

Business Mailing Address:
3444 MCKELVEY RD  BRIDGETON, MO 63044-2525 US
Tel: 314-380-3099  Fax: --

NPI Information:
NPI: 1588146211
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2471C1101XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
Cardiovascular-Interventional Technology
MO201610164
N2471N0900XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
MO2016010164
N2471V0106XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
MO2016010164
Y246XC2903XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist Cardiovascular
MO2016010164

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 246XC2903X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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