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Contact Information

PROFESSIONAL IMAGING LLC
1050 OLD DES PERES RD STE 30
SAINT LOUIS, MO63131-1873
 Phone: 314-743-2000
 Fax: 314-743-2005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
 

Body Imaging

2085B0100X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for PROFESSIONAL IMAGING LLC

NPI # 1619081940
LBN Legal business name PROFESSIONAL IMAGING LLC
Authorized official NICOLE BROOKS - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2006
Last updated 11/07/2025 - About 7 months ago
Identifiers
Other 7935693 AETNA
Other 686591 HEALTHLINK
MO Other 198695 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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