SPECIALT MRI LLC NPI 1811740301

NPI Information

NPI: 1811740301
Provider Name: SPECIALT MRI, LLC
Classification: Clinic/Center - 261QM1200X
Specialization: Magnetic Resonance Imaging (MRI)
Entity Type: Organization
CLIA Number: 26D2310282
Address: 1823 SMIZER STATION RD
FENTON, MO
ZIP 63026
Phone: (636) 333-1391

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NPI Details

SPECIALT MRI, LLC is a magnetic resonance imaging (mri) clinic center in Fenton, MO. SPECIALT MRI, LLC NPI is 1811740301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1823 SMIZER STATION RD
FENTON, MO
ZIP 63026-781
Phone: (636) 333-1391
Fax: (636) 333-1343

The provider's authorized official is Jerry Ge .
The authorized official title is Managing Member and has the following contact phone number (636) 333-1391.

The CLIA number assigned to this NPI record is 26D2310282 - other - mri imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2024 and was last updated on 4/11/2025.

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	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	Yes
3	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier		No

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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