PROFESSIONAL IMAGING LLC NPI 1619081940

NPI Information

  • NPI: 1619081940
  • Provider Name: PROFESSIONAL IMAGING LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 26D1084941
  • Address: 1050 OLD DES PERES RD STE 30
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 743-2000

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NPI Details

PROFESSIONAL IMAGING LLC is a radiology clinic center in Saint Louis, MO. 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:

1050 OLD DES PERES RD STE 30
SAINT LOUIS, MO
ZIP 63131-873
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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Ct scan of leg without contrast (HCPCS:73700)

The enumeration date for this NPI number is 8/17/2006 and was last updated on 11/7/2025.

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
12085B0100XRadiologyBody ImagingNo
22085R0202XRadiologyDiagnostic RadiologyNo
3261QR0200XClinic/CenterRadiologyYes

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
1198695OTHERMISSOURIBCBS
27935693OTHERAETNA
3686591OTHERHEALTHLINK

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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