PROFESSIONAL IMAGING LLC NPI 1619081940

NPI Information

NPI: 1619081940
Provider Name: PROFESSIONAL IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 26D1084941

Address:
777 S NEW BALLAS RD
SUITE 005
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 743-2000
Get Directions

PROFESSIONAL IMAGING LLC is a diagnostic radiology radiology in Saint Louis, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROFESSIONAL IMAGING LLC NPI is 1619081940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

777 S NEW BALLAS RD
SUITE 005
SAINT LOUIS, MO
ZIP 63141-705
Phone: (314) 743-2000
Fax: (314) 743-2005

The provider's authorized official is Nicole L Brooks .
The authorized official title is Director and has the following contact phone number (314) 324-3728.

The CLIA number assigned to this NPI record is 26D1084941 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging			No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	686591	OTHER		HEALTHLINK
2	198695	OTHER	MISSOURI	BCBS
3	7935693	OTHER		AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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