THERAPEUTIC AND DIAGNOSTIC IMAGING LLC NPI 1164622965

NPI Information

  • NPI: 1164622965
  • Provider Name: THERAPEUTIC AND DIAGNOSTIC IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2345 DOUGHERTY FERRY RD
    SAINT LOUIS, MO
    ZIP 63122
  • Phone: (314) 984-8827

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NPI Details

THERAPEUTIC AND DIAGNOSTIC 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. THERAPEUTIC AND DIAGNOSTIC IMAGING LLC NPI is 1164622965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO
ZIP 63122-313
Phone: (314) 984-8827
Fax: (314) 985-1001

The provider's authorized official is John G. Landgraf .
The authorized official title is Practice Manager and has the following contact phone number (314) 984-8827.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/29/2025.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1507429306MEDICAIDMISSOURI

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: 11/21/2025

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