OrganizationActive
Capital Region Medical Center
NPI 1679825244 · Body Imaging Physician · Jefferson City, MO
Provider details
- NPI number
- 1679825244
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tom Luebbering, Vice President of Finance(573) 632-5102
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1432 Southwest Blvd
Jefferson City, MO 65109-2444
Phone: (573) 632-5580
Street-level locationGet directions
Mailing address
1432 Southwest Blvd
Jefferson City, MO 65109-2444
Other names (DBA / former)
- Doing business as
- Radiance Medical Spa and Vein Care
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2013-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.