Professional Imaging LLC
Clinic/Center, Radiology in Saint Louis, MO. Organization (NPI-2).
NPI number1619081940
StatusActive
Last updated in NPPESNov 7, 2025
Details
- NPI
- 1619081940
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Imaging LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Certification date
- Nov 7, 2025
- Last updated
- Nov 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 2085B0100X | Radiology, Body Imaging | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – |
Practice location
1050 Old Des Peres Rd Ste 30Saint Louis, MO 63131-1873
Phone 314-743-2000 · Fax 314-743-2005
Mailing address
1050 Old Des Peres Rd Ste 30Saint Louis, MO 63131-1873
Phone 314-743-2000 · Fax 314-743-2005
Authorized official
Nicole L Brooks
Director
3143243728
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