OrganizationActive
Midwest Diagnostic Imaging Center
NPI 1417139023 · Radiology Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1417139023
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Ross, President Ceo(866) 504-2674
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mammography Clinic/Center261QR0206X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4120 Lindell Blvd
Saint Louis, MO 63108-2914
Phone: (866) 504-2674
Street-level locationGet directions
Mailing address
3920 Lindell Blvd
Saint Louis, MO 63108-3254
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2007-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.