| Organization Name: | SPECIALIZED IMAGING SERVICES, INC. |
| NPI Number: | 1710971080 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER TURNER (CEO) |
| Mailing Address: | 9785 Mackenzie Rd Suite 101 Saint Louis |
| State: | MO US |
| Postal Code: | 631235438 |
| Phone Number: | 3145443536 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2005 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |