OrganizationActive
Advanced Radiology LLC
NPI 1093870982 · Diagnostic Radiology Physician · Osage Beach, MO
Provider details
- NPI number
- 1093870982
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Johnson, Cfo(573) 442-1788
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1037 Palisades Blvd
Suite 7
Osage Beach, MO 65065-3340
Phone: (573) 746-7010
Fax: (573) 746-7011
Approximate (ZIP-level) locationGet directions
Mailing address
311 N Keene St
Columbia, MO 65201-6623
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.