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King's Medical Imaging Creve Coeur, LLC

NPI 1063415073ActiveOrganization· Physiological Laboratory· Creve Coeur, MO

Physiological Laboratory in Creve Coeur, Missouri, registered in NPPES in May 2005. The authorized official on file is V. Renae Coyne, Director Of Billing.

Overview

NPI1063415073
StatusActive
Entity typeOrganization
NPI issuedMay 23, 2005
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physiological Laboratory Primary293D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years