Southern Illinois Imaging Associates, LLC
NPI 1114019312 · Diagnostic Radiology Physician · Waterloo, IL
Southern Illinois Imaging Associates, LLC is a Diagnostic Radiology Physician organization in Waterloo, IL (NPI 1114019312).
Provider details
- NPI number
- 1114019312
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael O'Brien, Authorized Official(513) 281-3400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2008-01-28
Frequently asked questions
- What is Southern Illinois Imaging Associates, LLC's NPI number?
- Southern Illinois Imaging Associates, LLC's National Provider Identifier (NPI) is 1114019312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Imaging Associates, LLC?
- Southern Illinois Imaging Associates, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Illinois Imaging Associates, LLC located?
- Southern Illinois Imaging Associates, LLC's practice location on file with NPPES is 509 Hamacher St, Waterloo, IL 62298-1592.
- What is Southern Illinois Imaging Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Imaging Associates, LLC is (618) 939-9790.
- Who is the authorized official for Southern Illinois Imaging Associates, LLC?
- The authorized official listed on Southern Illinois Imaging Associates, LLC's NPPES record is Michael O'Brien, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Imaging Associates, LLC's NPI active?
- Yes — Southern Illinois Imaging Associates, LLC's NPI (1114019312) is active in the NPPES registry as of the last update on 2008-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.