OrganizationActive
Professional Imaging LLC
NPI 1619081940 · Radiology Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1619081940
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole Brooks, Director(314) 324-3728
Specialties & taxonomies
Ambulatory Health Care Facilities
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Practice location
1050 Old Des Peres Rd Ste 30
Saint Louis, MO 63131-1873
Phone: (314) 743-2000
Fax: (314) 743-2005
Approximate (ZIP-level) locationGet directions
Mailing address
1050 Old Des Peres Rd Ste 30
Saint Louis, MO 63131-1873
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.