Provider Demographics
NPI:1205487014
Name:OZONE CONSULTING STL
Entity type:Organization
Organization Name:OZONE CONSULTING STL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-308-7681
Mailing Address - Street 1:14169 MANCHESTER RD STE C
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4525
Mailing Address - Country:US
Mailing Address - Phone:636-220-1470
Mailing Address - Fax:636-220-1468
Practice Address - Street 1:14169 MANCHESTER RD STE C
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011-4525
Practice Address - Country:US
Practice Address - Phone:636-220-1470
Practice Address - Fax:636-220-1468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care