Active NPI
Therapeutic and Diagnostic Imaging LLC
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- THERAPEUTIC AND DIAGNOSTIC IMAGING LLC
- Practice address
- 9930 Watson Rd
Saint Louis, MO 63126-1827 - Phone
- (314) 984-8827
- Fax
- (314) 627-1100
- NPI assigned
- Jul 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John G. Landgraf
- Title
- Practice Manager
- Phone
- (314) 984-8827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
9930 Watson Rd
Saint Louis, MO 63126-1827
Mailing address
9930 Watson Rd
Saint Louis, MO 63126-1845
Phone (314) 984-8827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507429306 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Locations
17300 North Outer 40 Rd
Ste 101
Chesterfield, MO 63005
Phone (573) 442-1886
17000 Baxter Rd
Ste 103
Chesterfield, MO 63005
433 Lynn Haven Ln
Hazelwood, MO 63042
Phone (314) 551-0338
11652 Studt Ave
Saint Louis, MO 63141
Phone (314) 432-5002
12101 Olive Blvd
Saint Louis, MO 63141
Phone (314) 514-0167
9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477544724
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1619188133
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1497736904
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1053392324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1164622965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631261845",
"telephone_number": "314-984-8827",
"fax_number": "314-985-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631261827",
"telephone_number": "314-984-8827",
"fax_number": "314-627-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC AND DIAGNOSTIC IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "LANDGRAF",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "314-984-8827",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507429306",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.