OrganizationActive
Southtowne Imaging Center LLC
NPI 1104991918 · Radiology Clinic/Center · Potosi, MO
Southtowne Imaging Center LLC is a Radiology Clinic/Center organization in Potosi, MO (NPI 1104991918).
Provider details
- NPI number
- 1104991918
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Henry Boots, Owner/Manager(573) 315-9109
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Southtowne Dr
Potosi, MO 63664-5729
Phone: (573) 436-6736
Fax: (573) 436-7321
Approximate (ZIP-level) locationGet directions
Mailing address
20 Southtowne Dr
Potosi, MO 63664-5729
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2015-02-17
Frequently asked questions
- What is Southtowne Imaging Center LLC's NPI number?
- Southtowne Imaging Center LLC's National Provider Identifier (NPI) is 1104991918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southtowne Imaging Center LLC?
- Southtowne Imaging Center LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southtowne Imaging Center LLC located?
- Southtowne Imaging Center LLC's practice location on file with NPPES is 20 Southtowne Dr, Potosi, MO 63664-5729.
- What is Southtowne Imaging Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Southtowne Imaging Center LLC is (573) 436-6736.
- Who is the authorized official for Southtowne Imaging Center LLC?
- The authorized official listed on Southtowne Imaging Center LLC's NPPES record is Henry Boots, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southtowne Imaging Center LLC's NPI active?
- Yes — Southtowne Imaging Center LLC's NPI (1104991918) is active in the NPPES registry as of the last update on 2015-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.