Independent Imaging, LLC
Organization Active NPI Diagnostic Radiology Physician · Aurora, MO
NPI 1265583462 · NPPES record last updated Apr 11, 2008
Key facts
- NPI
- 1265583462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- LC0773278 (MO)
- Legal business name
- INDEPENDENT IMAGING, LLC
- Practice address
- 500 Porter Ave
Aurora, MO 65605-2365 - Phone
- (417) 678-7880
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey L Shore, MD
- Title
- President
- Phone
- (314) 821-5600
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | LC0773278 | MO | Yes |
Addresses
Primary practice location
500 Porter Ave
Aurora, MO 65605-2365
Mailing address
1715 Deer Tracks TRL
Suite 130
Saint Louis, MO 63131-1839
Phone (314) 821-5600
Other providers in Aurora, MO
- Amy Elizabeth Hodges
- Paula Hokanson
- Charla Faye Holst
- Kimberly S Huggins
- Christie J. Hurt
- Deborah Leann Inman
- Susan Inman
- Richard Jenkins
- John a. Watts, DC, LLC
- Vanessa M Johnston
All providers in Aurora, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.