Gomelb Vascular Llc
Vascular Specialist
12855 N 40 Dr Ste 205, Saint Louis
Missouri, 63141-8670
314-255-2204 866-623-8346
Gomelb Vascular Llc is a Vascular Specialist in Saint Louis, Missouri. It is located at 12855 N 40 Dr Ste 205, Saint Louis and it's customer support contact number is 314-255-2204. The authorized person of Gomelb Vascular Llc is Olaguoke Akinwande, MD who is Provider of this DME and his contact number is 410-499-1078. Active license number of Gomelb Vascular Llc is 2016010164 for Vascular Specialist in Missouri. Gomelb Vascular Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Gomelb Vascular Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Gomelb Vascular Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Gomelb Vascular Llc |
| Type: | Vascular Specialist |
| Location: | 12855 N 40 Dr Ste 205, Saint Louis,
Missouri, 63141-8670 |
| Phone: | 314-255-2204 |
| Fax: | 866-623-8346 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Olaguoke Akinwande |
| Credentials: | MD |
| Position: | Provider |
| Contact Number: | 410-499-1078 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1588146211 |
| NPI Enumeration Date: | 29 Aug, 2018 |
| NPI Last Update On: | 13 Dec, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gomelb Vascular Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Vascular Specialist | 2016010164 | Missouri | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Vascular & Interventional Radiology | | | Secondary | |
| Vascular Surgery | | | Secondary | |
| Cardiovascular-Interventional Technology | 201610164 | Missouri | Secondary | |
| Nuclear Medicine Technology | 2016010164 | Missouri | Secondary | |
| Vascular-Interventional Technology | 2016010164 | Missouri | Secondary | |
Medicare Enrollment:
Gomelb Vascular Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2668713884 | O20190416001046 | Gomelb Vascular Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 2668713884 | O20210726002558 | Gomelb Vascular Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12855 N 40 Dr Ste 205,
Saint Louis, Missouri |
| Zip: | 63141-8670 |
| Phone Number: | 314-255-2204 |
Patients can reach Gomelb Vascular Llc at
12855 N 40 Dr Ste 205, Saint Louis, Missouri or can
call on customer care at 314-255-2204.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.